Liset Gutierrez Barraza
Behavior Technician
901 Sneath Ln Ste 105
San Bruno
, California 94066-2415
Liset Gutierrez Barraza
Behavior Technician
901 Sneath Ln Ste 105
San Bruno
, California 94066-2415
(949) 833-2237
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About
Features
Specialties
- Behavior Technician
Languages spoken
- English
Location
First Address
- Liset Gutierrez Barraza
- 16782 Von Karman Ave Ste 11
- Irvine, CA
- Zip : 92606-2417
- Phone : (949) 833-2237
Second Address
- Liset Gutierrez Barraza
- 901 Sneath Ln Ste 105
- San Bruno, CA
- Zip : 94066-2415
- Phone : (650) 515-9882
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician |
National Provider Identifier
| NPI | 1003416306 |
|---|---|
| Provider Name | Liset Gutierrez Barraza |
| First Address | Irvine, CA 92606-2417 |
| Second Address | San Bruno, CA 94066-2415 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/10/2020 |
| Last Update Date | 27/10/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.