Individual
ANDRIS INMACULADA GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
2970 MARION AVE APT 1C, BRONX, NY 10458-2278
(347) 331-9626
Mailing address
2970 MARION AVE APT 1C, BRONX, NY 10458-2278
(347) 331-9626
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1005382161
NY
Other
Enumeration date
03/23/2016
Last updated
03/23/2016
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