Gutierrez, Damaris

Gutierrez, Damaris is an sole proprietor health care provider with primary practice located at 8491 Nw 17Th St Ste 110 , Doral FL 33126-1025. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Agencies / Early Intervention Provider Agency. Agencies / Early Intervention Provider Agency is her primary health care specialty. Gutierrez, Damaris can be contacted via phone (305) 456-5542.

Contact Information

Primary practice address
8491 Nw 17Th St Ste 110 Doral FL 33126-1025
Phone: (305) 456-5542
Fax: (786) 598-7590
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-19-89497 Florida
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1164170932
LBN Legal business name Gutierrez, Damaris
Credentials ITDS & RBT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 11th, 2022
Last updated Feb 16th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1164170932 NPPES
Florida MEDICAID 105159600

Popular Providers