Most Relevant Information
Provider Data
| NPI Number: | 1003547985 |
| Provider Name: | YESENIA GUTIERREZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/21/2022 |
| Last Updated: | 01/04/2024 |
Provider Practice Location
691 E WASHINGTON BLVD
PASADENA
CA
911045003
Practice Location Phone/Fax
| Phone: | 6267979007 |
| Fax: |
Provider Mailing Location
691 E WASHINGTON BLVD
PASADENA
CA
911045003
Provider Mailing Phone/Fax
| Phone: | 6267979007 |
| Fax: |