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NPI Code Detail

MEDICARE: MISS JARELY M GUERRERO SR.

MEDICARE: MISS JARELY M GUERRERO SR.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1003535634
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS JARELY M GUERRERO SR.
Provider Business Mailing Address
First Line : 13225 KELOWNA ST APT 204E
Second Line :
City : PACOIMA
State : CA
Zip : 91331-4092
Country : US
Telephone Number : 818-987-6200
Fax Number :
Provider Business Practice Location Address
First Line : 3210 W BURBANK BLVD STE B
Second Line :
City : BURBANK
State : CA
Zip : 91505-2200
Country : US
Telephone Number : 818-638-9586
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2022
Last Update Date : 08/25/2022

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Directions to “ MISS JARELY M GUERRERO SR. ” Practice Location

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