Individual provider Active NPI

Alice F. Gutierrez, B.C.B.A

  • Behavior Analyst
  • Stafford, TX
National Provider Identifier
1801805445
Registry record updated Apr 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1409 Issued in TX
Practice address
11925 Southwest Freeway, St. 5
Blue Sprig
Stafford, TX 77477-7747
Phone
(713) 306-9793
Fax
(832) 358-2655
NPI assigned
Aug 5, 2006
Last updated
Apr 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1409 TX Primary

Addresses

Primary practice location

11925 Southwest Freeway, St. 5
Blue Sprig
Stafford, TX 77477-7747

Mailing address

17810 Spring Creek Forest Dr
Spring, TX 77379-4290
Phone (832) 358-2655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1409TXMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
All for One Therapy LLC Behavior Analyst Current Accepting new patients

Locations

13333 Southwest Fwy
Sugar Land, TX 77478
Phone (281) 715-2888

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587686400000",
    "number": "1801805445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17810 SPRING CREEK FOREST DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773794290",
            "telephone_number": "832-358-2655",
            "fax_number": "832-358-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11925 SOUTHWEST FREEWAY, ST. 5",
            "address_2": "BLUE SPRIG",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774777747",
            "telephone_number": "713-306-9793",
            "fax_number": "832-358-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "ALICE",
        "middle_name": "F.",
        "credential": "B.C.B.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.