Individual
NIVIA GIANNI GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
6191 S 108TH ST # B, HALES CORNERS, WI 53130-2524
(414) 475-1896
(414) 988-9764
Mailing address
7125 S BALLPARK DR APT 114, FRANKLIN, WI 53132-6925
(847) 651-7806
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1290140
WI
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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