Provider Demographics
NPI:1265130363
Name:UTRERAS, ARLYNE
Entity type:Individual
Prefix:
First Name:ARLYNE
Middle Name:
Last Name:UTRERAS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8136 CLAIRE ANN DR APT 306
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32825-3139
Mailing Address - Country:US
Mailing Address - Phone:407-575-4323
Mailing Address - Fax:
Practice Address - Street 1:8136 CLAIRE ANN DR APT 306
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32825-3139
Practice Address - Country:US
Practice Address - Phone:407-575-4323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-17
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician