Most Relevant Information
Provider Data
| NPI Number: | 1003375932 |
| Provider Name: | JULIO GUTIERREZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/19/2019 |
| Last Updated: | 03/19/2019 |
Provider Practice Location
640 N TUSTIN AVE STE 101
SANTA ANA
CA
927053731
Practice Location Phone/Fax
| Phone: | 9496083697 |
| Fax: |
Provider Mailing Location
640 N TUSTIN AVE STE 101
SANTA ANA
CA
927053731
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |