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NPI Code Detail

MEDICARE: CARINA GUZMAN MA

MEDICARE: CARINA GUZMAN MA
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
1103K00000XBehavior Analyst

Other Identifiers

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

General Provider Information

NPI Number : 1255980363
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARINA GUZMAN MA
Provider Business Mailing Address
First Line : 3339 PAVETTO LN
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46203-6511
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5915 S EMERSON AVE STE 100
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46237-1972
Country : US
Telephone Number : 317-993-6243
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2019
Last Update Date : 10/02/2025

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Directions to “ CARINA GUZMAN MA” Practice Location

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