SUSAN GESSELLE GUTIERREZ (NPI# 1023615465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023615465 |
| Entity Type | Individual |
| Full Name | SUSAN GESSELLE GUTIERREZ |
| Practice Address |
600 Lake Hollingsworth Dr Lakeland FL 33803-2364 |
| Mailing Address |
Po Box 93374 Lakeland FL 33804-3374 |
| Practice Telephone | 8636657300 |
| Mailing Telephone | 8636657300 |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2020-10-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 019102000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245584457 | Susan Marie Gutierrez | Occupational Therapist | 5332 Prosperity Ln, San Diego, CA 92115-2145 | 2012-11-09 |
| 1801061262 | Susan Kelly Gutierrez | Physical Therapy Assistant | 3707 West Lake Ave., Suite #200, Glenview, IL 60026 | 2008-04-28 |
| 1518961127 | Susan E Gutierrez | Pain Medicine | 100 Park Pl, Suite 120, San Ramon, CA 94583-4460 | 2005-06-10 |
| 1235660911 | Susan Gutierrez | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2017-03-23 |
| 1124432547 | Susan Camille Gutierrez | Nurse Practitioner | 16620 N Us Highway 281 Ste 300, San Antonio, TX 78232-2679 | 2014-06-13 |
| 1255760591 | Susan Gutierrez | Case Manager/Care Coordinator | 2280 E Grand River Ave, Howell, MI 48843-8503 | 2013-11-07 |
| 1053635136 | Susan Gutierrez | Rehabilitation Practitioner | 10012 Norwalk Blvd Ste 140, Santa Fe Springs, CA 90670-3362 | 2010-03-18 |
| 1356366405 | Susan M Gutierrez | Nurse Practitioner | 100 Mercy Way, Joplin, MO 64804-4524 | 2006-07-12 |
| Street Address |
600 LAKE HOLLINGSWORTH DR |
| City | LAKELAND |
| State | FL |
| Zip Code | 33803-2364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124584305 | Katherine Harris | Behavior Technician | 600 Lake Hollingsworth Dr, Lakeland, FL 33803-2364 | 2019-02-13 |
| 1942818406 | Dayane Quiroga | Behavior Technician | 600 Lake Hollingsworth Dr, Lakeland, FL 33803-2364 | 2020-07-21 |
| 1639791213 | Courtney Jessica Crowley | Behavior Technician | 600 Lake Hollingsworth Dr, Lakeland, FL 33803-2364 | 2020-05-18 |
| 1407478621 | Julia Rose Ruffino | Behavior Technician | 600 Lake Hollingsworth Dr, Lakeland, FL 33803-2364 | 2020-05-11 |
| 1588284400 | Tiki Taylor | Behavior Technician | 600 Lake Hollingsworth Dr, Lakeland, FL 33803-2364 | 2020-04-21 |
| 1497394498 | Kristy Cleveland | Behavior Technician | 600 Lake Hollingsworth Dr, Lakeland, FL 33803-2364 | 2019-12-23 |
| 1679123897 | Shante M Taylor | Behavior Technician | 600 Lake Hollingsworth Dr, Lakeland, FL 33803-2364 | 2019-09-19 |
| 1538729058 | Stephanie Joseph | Behavior Technician | 600 Lake Hollingsworth Dr, Lakeland, FL 33803-2364 | 2019-06-17 |
| 1407411937 | Alyson Michelle Ghent | Behavior Technician | 600 Lake Hollingsworth Dr, Lakeland, FL 33803-2364 | 2019-05-09 |
| 1053871640 | Kristen Honeycutt | Behavior Technician | 600 Lake Hollingsworth Dr, Lakeland, FL 33803-2364 | 2019-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861964819 | Steven P Agelidis | Counselor | 2020 S. Florida Ave, Suite 207, Lakeland, FL 33803 | 2018-12-31 |
| 1902316201 | Kesara Mai Ngam | Massage Therapist | 117 West Oak Drive, Lakeland, FL 33803 | 2017-10-02 |
| 1396260618 | Suncoast Behavioral Solutions, LLC | Behavioral Analyst | 1920 E Edgewood Dr Apt A8, Lakeland, FL 33803 | 2017-08-08 |
| 1316484413 | Daniel Jacob Stahl | Behavior Technician | 145 East Edgewood Drive, Lakeland, FL 33803 | 2017-01-26 |
| 1780037002 | Shelley Stettinius | Behavioral Analyst | 145 East Edgewood Dr, Lakeland, FL 33803 | 2016-07-21 |
| 1396106654 | Highlands Occupational Therapy, Inc | Occupational Therapist | 2000 East Edgewood Drive, Suite 114, Lakeland, FL 33803 | 2016-03-15 |
| 1003289570 | Jayna Dinsmore | Physical Therapy Assistant | 321 Imperial Blvd, D38, Lakeland, FL 33803 | 2015-11-05 |
| 1093187429 | Healthstat Wellness Polk-lakeland | Preventive Medicine | 3215 Winter Lake Road, Lakeland, FL 33803 | 2015-10-26 |
| 1962812545 | Florida Presbyterian Homes, Inc | Nursing Facility/Intermediate Care Facility | 901 Lakeside Avenue, Lakeland, FL 33803 | 2014-05-05 |
| 1710316336 | Trinity Endodontics | Health Maintenance Organization | 1602 S. Florida Ave, Ste #1, Lakeland, FL 33803 | 2013-11-04 |
| Find all providers in zip 33803 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851990154 | Caitlin Shultz | Behavior Technician | 1604 Unitah Ave, Lakeland, FL 33803-1946 | 2020-10-19 |
| 1881202034 | Yenisleidy Alonso Herrera | Behavior Technician | 4040 Marie Dr, Lakeland, FL 33813-3932 | 2020-07-14 |
| 1356965297 | Deyshawnta Gardner | Behavior Technician | 2920 Morgan Combee Rd, Lakeland, FL 33801-2940 | 2020-06-06 |
| 1720549116 | Joy Marie Dresser | Behavior Technician | 1284 Devin Oaks Ct Fl 33811, Lakeland, FL 33811-2383 | 2019-03-27 |
| 1124584305 | Katherine Harris | Behavior Technician | 600 Lake Hollingsworth Dr, Lakeland, FL 33803-2364 | 2019-02-13 |
| 1366913436 | Tatiana Cordova | Behavior Technician | 3151 Hardin Combee Rd Fl 33801, Lakeland, FL 33801-3019 | 2018-12-16 |
| 1891261970 | Juneelym Figueroa | Behavior Technician | 921 E Parker St Ste 1, Lakeland, FL 33801-1901 | 2018-10-16 |
| 1396242020 | Mabel V Aportela | Behavior Technician | 2346 Sebago Dr, Lakeland, FL 33805-8005 | 2018-04-09 |
| 1154828887 | Elena Antonia Garces Quintana | Behavior Technician | 10950 Sportsman Trl, Lakeland, FL 33809-1160 | 2018-04-09 |
| 1124527163 | Ashley Lois Jenkins | Behavior Technician | 4922 Wildflower Dr, Lakeland, FL 33811-1565 | 2018-02-05 |
| Find all providers in LAKELAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.