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NPI Code Detail

MEDICARE: KIANA ELISE GUINTU

MEDICARE:   KIANA ELISE  GUINTU
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 : 1609699883
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIANA ELISE GUINTU
Provider Business Mailing Address
First Line : 3620 W HAMMER LN
Second Line :
City : STOCKTON
State : CA
Zip : 95219-5532
Country : US
Telephone Number : 209-521-4791
Fax Number :
Provider Business Practice Location Address
First Line : 3620 W HAMMER LN
Second Line :
City : STOCKTON
State : CA
Zip : 95219-5532
Country : US
Telephone Number : 209-521-4791
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2024
Last Update Date : 01/02/2026

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Directions to “ KIANA ELISE GUINTU ” Practice Location

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