Individual ProviderJenetsy Amaris GutierrezBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address10300 SW 72nd St Ste 114, Miami, FL 33173(305) 508-5580PECOS EnrollmentBased on the most recent information from CMS, provider Jenetsy Amaris Gutierrez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 2:35 PM.Profile DetailsProvider ID1366962797Provider TypeIndividualFull NameGutierrez, Jenetsy AmarisGenderFemaleSole ProprietorYesEnumeration Date6/27/2017Last Updated7/21/2022Contact InformationPractice LocationPractice Address10300 SW 72nd St Ste 114, Miami, FL 33173Phone(305) 508-5580FaxUnlisted FaxMailing LocationMailing Address10300 SW 72nd St Ste 114, Miami, FL 33173-3038Phone(305) 508-5580FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseRBT-18-70064Florida