Individual
CARMEN LAGO GUZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5051 MEMORIAL HWY UNIT B, TAMPA, FL 33634-7355
(786) 395-8225
Mailing address
11126 TILBURG ST, SPRING HILL, FL 34608-2950
(305) 316-5963
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-19-9660
FL
106S00000X
Behavior Technician
RBT-15-11565
FL
Other
Enumeration date
09/12/2016
Last updated
04/16/2026
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