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NPI Code Detail

MEDICARE: LUCIA GUDINO

MEDICARE: LUCIA GUDINO
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1548007446
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUCIA GUDINO
Provider Business Mailing Address
First Line : 6172 JENNIFER LN
Second Line :
City : RIVERSIDE
State : CA
Zip : 92509-6255
Country : US
Telephone Number : 714-323-0851
Fax Number :
Provider Business Practice Location Address
First Line : 19318 JESSE LN
Second Line :
City : RIVERSIDE
State : CA
Zip : 92508-5090
Country : US
Telephone Number : 951-900-6390
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2024
Last Update Date : 07/09/2024

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Directions to “ LUCIA GUDINO ” Practice Location

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