Healthcare Provider Details

I. General information

NPI: 1619849924
Provider Name (Legal Business Name): NAYLANI GUZMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/18/2025
Last Update Date: 09/18/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 S ADDISON ST
BENSENVILLE IL
60106-2126
US

IV. Provider business mailing address

3345 S HARLEM AVE
BERWYN IL
60402-3222
US

V. Phone/Fax

Practice location:
  • Phone: 312-600-5061
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-25-472528
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: