MEDICARE: MS. MARCELA GUIMOYE BCBA

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	106S00000X	Behavior Technician
2	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1962949834
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARCELA GUIMOYE BCBA

Provider Business Mailing Address
First Line	:	9093 GERVAIS CIR APT 1907
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34120-4863
Country	:	US
Telephone Number	:	239-703-3092
Fax Number	:

Provider Business Practice Location Address
First Line	:	11983 TAMIAMI TRL N # 121
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34110-1603
Country	:	US
Telephone Number	:	239-703-3092
Fax Number	:

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

Provider Enumeration Date	:	01/30/2017
Last Update Date	:	07/01/2021

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