Provider Demographics
NPI:1689498362
Name:GUTIERREZ PARRA, YILLIAM CLAUDIA
Entity type:Individual
Prefix:
First Name:YILLIAM
Middle Name:CLAUDIA
Last Name:GUTIERREZ PARRA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1860 CORAL WAY APT 7
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33145-2753
Mailing Address - Country:US
Mailing Address - Phone:502-885-2872
Mailing Address - Fax:
Practice Address - Street 1:1860 CORAL WAY APT 7
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-2753
Practice Address - Country:US
Practice Address - Phone:502-885-2872
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-11
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-24-392354106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician