MEDICARE: YOSLAINE GUERRA

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
1	103K00000X	Behavior Analyst

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184140592
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YOSLAINE GUERRA

Provider Business Mailing Address
First Line	:	4440 W FLAGLER ST APT 1A
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-1566
Country	:	US
Telephone Number	:	786-720-8739
Fax Number	:	305-742-2190

Provider Business Practice Location Address
First Line	:	4440 W FLAGLER ST APT 1A
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-1566
Country	:	US
Telephone Number	:	786-720-8739
Fax Number	:	305-742-2190

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2017
Last Update Date	:	07/21/2022

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Directions to “ YOSLAINE GUERRA ” Practice Location

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