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NPI 1316657448

NPI 1316657448 : ELMER VENANCIO GUZMAN MORFIN BCBA : MONTEREY, CA

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General NPI Number Information
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    NPI Number           |    1316657448
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    Entity Type          |    Individual 
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    Provider Name        |    ELMER VENANCIO GUZMAN MORFIN BCBA
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/30/2022
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    Last Update Date     |    01/08/2026
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Provider Practice Location Address
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    Address Line         |    798 LIGHTHOUSE AVE, #324 
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    City                 |    MONTEREY
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    State                |    CA
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    Zip                  |    93940-1010
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    Country              |    US
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    Telephone            |    855-832-6727
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    Fax                  |    772-675-9100
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Provider Business Mailing Address
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    Address Line         |    4308 BONAIRE ST 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93306-1304
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    Country              |    US
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    Telephone            |    661-369-9699
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103K00000X
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    Taxonomy Name        |    Behavior Analyst
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    License Number       |    39354
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    License Number State |    CA
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