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JACLYN GUTIERREZ BCBA NPI 1215118567


NPI Information

NPI: 1215118567
Provider Name: JACLYN GUTIERREZ, BCBA
Classification: Behavior Analyst - 103K00000X
Entity Type: Individual
Address:
4801 W PETERSON AVE
SUITE 512
CHICAGO, IL
ZIP 60646
Phone: (773) 539-7099
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Jaclyn Gutierrez, BCBA is a behavior analyst in Chicago, IL. The provider is a behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. Jaclyn Gutierrez, BCBA NPI is 1215118567. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4801 W PETERSON AVE
SUITE 512
CHICAGO, IL
ZIP 60646-713
Phone: (773) 539-7099
Fax: (773) 539-8099

The enumeration date for this NPI number is 11/15/2007 and was last updated on 1/31/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103K00000XBehavior Analyst1-12-12623Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
108258MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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