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NPI Code Detail

MEDICARE: ALEXIS GUZMAN

MEDICARE: ALEXIS GUZMAN
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
1106S00000XBehavior Technician
2106S00000XBehavior TechnicianRBT-24-322462CA

General Provider Information

NPI Number : 1437622651
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS GUZMAN
Provider Business Mailing Address
First Line : 594 POLI ST
Second Line :
City : VENTURA
State : CA
Zip : 93001-2633
Country : US
Telephone Number : 909-213-3667
Fax Number :
Provider Business Practice Location Address
First Line : 32107 LINDERO CANYON RD STE 229
Second Line :
City : WESTLAKE VILLAGE
State : CA
Zip : 91361-4266
Country : US
Telephone Number : 818-851-9123
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2019
Last Update Date : 01/18/2024

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Directions to “ ALEXIS GUZMAN ” Practice Location

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