Healthcare Provider Details

I. General information

NPI: 1144060153
Provider Name (Legal Business Name): ABEL ERNESTO GUERRA FRESQUET BCABA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2024
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5425 GOLDEN GATE PKWY
NAPLES FL
34116-7524
US

IV. Provider business mailing address

5045 MINA CIR APT 204
FORT MYERS FL
33905-7827
US

V. Phone/Fax

Practice location:
  • Phone: 239-778-8455
  • Fax:
Mailing address:
  • Phone: 305-724-2292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number0-26-2830185
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-24-341861
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: