Active NPI
Odiva Rocio Gutierrez Lopez
- Behavior Technician
- Tacoma, WA
National Provider Identifier
1902743479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 70122174
- Practice address
- 950 Broadway Ste 301
Tacoma, WA 98402-4454 - Phone
- (253) 292-4354
- NPI assigned
- May 1, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 70122174 | WA | Primary |
Addresses
Primary practice location
950 Broadway Ste 301
Tacoma, WA 98402-4454
Mailing address
3921 S Tyler St Apt 1
Tacoma, WA 98409-2172
Phone (253) 366-1935
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
| License | State | Type | Specialty |
|---|---|---|---|
| 70122174 | WA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1902743479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3921 S TYLER ST APT 1",
"city": "TACOMA",
"state": "WA",
"postal_code": "984092172",
"telephone_number": "253-366-1935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 BROADWAY STE 301",
"city": "TACOMA",
"state": "WA",
"postal_code": "984024454",
"telephone_number": "253-292-4354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTIERREZ LOPEZ",
"first_name": "ODIVA",
"middle_name": "ROCIO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-01",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "WA",
"license": "70122174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.