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NPI Code Detail

MEDICARE: ORLANDO GUEVARA

MEDICARE: ORLANDO GUEVARA
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
1106E00000XAssistant Behavior Analyst0-19-10702FL
2103K00000XBehavior Analyst1-21-54903FL

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 : 1780152751
Entity Type Code : Individual
Provider Name (Legal Business Name) : ORLANDO GUEVARA
Provider Business Mailing Address
First Line : 1170 NW 134TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33182-2219
Country : US
Telephone Number : 786-200-6374
Fax Number :
Provider Business Practice Location Address
First Line : 13839 SW 139TH CT
Second Line :
City : MIAMI
State : FL
Zip : 33186-5554
Country : US
Telephone Number : 786-250-4423
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2018
Last Update Date : 11/12/2022

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Directions to “ ORLANDO GUEVARA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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