=====================================================
General NPI Number Information
=====================================================
NPI Number | 1649133745
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | VALERIE CRISTINE GUZMAN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/05/2025
-----------------------------------------------------
Last Update Date | 12/05/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 11420 N. KENDALL DRIVE SUITE 112
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33176-1039
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-279-1999
-----------------------------------------------------
Fax | 305-459-3270
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10530 SW 200TH TER
-----------------------------------------------------
City | CUTLER BAY
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33189-1337
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-867-9278
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 106S00000X
-----------------------------------------------------
Taxonomy Name | Behavior Technician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------