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General NPI Number Information
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NPI Number | 1578060406
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Entity Type | Individual
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Provider Name | GEIDY GUERRA MAYEDO BCBA
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Gender | Female
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Dates
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Enumeration Date | 04/08/2018
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 8200 NW 41ST ST STE 262
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City | DORAL
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State | FL
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Zip | 33166-6205
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Country | US
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Telephone | 786-515-7480
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Fax |
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Provider Business Mailing Address
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Address Line | 10530 SW 200TH ST
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City | CUTLER BAY
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State | FL
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Zip | 33157-8521
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Country | US
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Telephone | 786-515-7480
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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 | 1-21-53447
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number | 0-20-11294
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License Number State | FL
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