Individual
GICHELY GUEVARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
12025 SW 18TH ST APT 6, MIAMI, FL 33175-1617
(305) 788-5263
Mailing address
12025 SW 18TH ST APT 6, MIAMI, FL 33175-1617
(305) 788-5263
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/07/2016
Last updated
08/22/2019
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