Individual
MICHELLE GUAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
222 MAPLEWOOD AVE, BOGOTA, NJ 07603-1743
(646) 804-8067
Mailing address
222 MAPLEWOOD AVE, BOGOTA, NJ 07603-1743
(646) 804-8067
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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