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NPI Code Detail

MEDICARE: VANESSA ANGELICA GUZMAN

MEDICARE:   VANESSA ANGELICA GUZMAN
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

General Provider Information

NPI Number : 1467209890
Entity Type Code : Individual
Provider Name (Legal Business Name) : VANESSA ANGELICA GUZMAN
Provider Business Mailing Address
First Line : 601 SW 71ST WAY
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33023-1064
Country : US
Telephone Number : 954-328-2327
Fax Number :
Provider Business Practice Location Address
First Line : 342 W 37TH ST
Second Line :
City : HIALEAH
State : FL
Zip : 33012-4326
Country : US
Telephone Number : 786-612-5077
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2024
Last Update Date : 05/03/2024

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Directions to “ VANESSA ANGELICA GUZMAN ” Practice Location

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