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NPI Code Detail

MEDICARE: ANAEL GUERRIER

MEDICARE: ANAEL GUERRIER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106E00000XAssistant Behavior Analyst
2106S00000XBehavior Technician25445799FL

General Provider Information

NPI Number : 1073308458
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANAEL GUERRIER
Provider Business Mailing Address
First Line : 11391 SQUARE ST UNIT 1317
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-4097
Country : US
Telephone Number : 754-273-2019
Fax Number :
Provider Business Practice Location Address
First Line : 7108 S KANNER HWY
Second Line :
City : STUART
State : FL
Zip : 34997-7462
Country : US
Telephone Number : 754-273-2019
Fax Number : 772-675-9100
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2025
Last Update Date : 06/24/2025

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