MEDICARE: MEGAN GUIDO

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
1	106S00000X	Behavior Technician		NM

General Provider Information

NPI Number	:	1457208449
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN GUIDO

Provider Business Mailing Address
First Line	:	312 59TH ST NW
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87105-1941
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	312 59TH ST NW
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87105-1941
Country	:	US
Telephone Number	:	505-508-7041
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/11/2026
Last Update Date	:	03/11/2026

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Directions to “ MEGAN GUIDO ” Practice Location

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