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NPI Code Detail

MEDICARE: ALEEZA GUZMAN

MEDICARE:   ALEEZA  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 TechnicianIN

General Provider Information

NPI Number : 1841140209
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEEZA GUZMAN
Provider Business Mailing Address
First Line : 15266 DELPHINIUM PL
Second Line :
City : HUNTERTOWN
State : IN
Zip : 46748-9518
Country : US
Telephone Number : 562-659-6698
Fax Number :
Provider Business Practice Location Address
First Line : 5750 FALLS DR
Second Line :
City : FORT WAYNE
State : IN
Zip : 46804-7147
Country : US
Telephone Number : 260-702-9898
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2026
Last Update Date : 02/03/2026

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Directions to “ ALEEZA GUZMAN ” Practice Location

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