Healthcare Provider Details

I. General information

NPI: 1316657448
Provider Name (Legal Business Name): ELMER VENANCIO GUZMAN MORFIN BCBA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2022
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

798 LIGHTHOUSE AVE, #324
MONTEREY CA
93940-1010
US

IV. Provider business mailing address

4308 BONAIRE ST
BAKERSFIELD CA
93306-1304
US

V. Phone/Fax

Practice location:
  • Phone: 855-832-6727
  • Fax: 772-675-9100
Mailing address:
  • Phone: 661-369-9699
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number39354
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: