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NPI Code Detail

MEDICARE: ARIANNA SOFIA DE GUEVARA

MEDICARE:   ARIANNA SOFIA DE GUEVARA
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

General Provider Information

NPI Number : 1548159692
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARIANNA SOFIA DE GUEVARA
Provider Business Mailing Address
First Line : 1983 MAHAN DR STE C
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32308-6121
Country : US
Telephone Number : 850-772-0855
Fax Number :
Provider Business Practice Location Address
First Line : 1983 MAHAN DR STE C
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32308-6121
Country : US
Telephone Number : 850-772-0855
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2025
Last Update Date : 07/02/2025

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Directions to “ ARIANNA SOFIA DE GUEVARA ” Practice Location

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