Healthcare Provider Details

I. General information

NPI: 1245659820
Provider Name (Legal Business Name): RENEE GUELI BCBA, LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2014
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1015 SALEM RD
CHERRY HILL NJ
08034-3658
US

IV. Provider business mailing address

1015 SALEM RD
CHERRY HILL NJ
08034-3658
US

V. Phone/Fax

Practice location:
  • Phone: 856-912-6346
  • Fax:
Mailing address:
  • Phone: 856-912-6346
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-14-15284
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: