Healthcare Provider Details

I. General information

NPI: 1982124723
Provider Name (Legal Business Name): GUERLANCIA BERNARD RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2017
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8110 BELLAGIO LN
BOYNTON BEACH FL
33472-2740
US

IV. Provider business mailing address

8110 BELLAGIO LN
BOYNTON BEACH FL
33472-2740
US

V. Phone/Fax

Practice location:
  • Phone: 561-908-1456
  • Fax:
Mailing address:
  • Phone: 561-908-1456
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number02617001
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT1615530
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: