Individual
GISELLE MARY GUERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
6919 ALDERTON ST, REGO PARK, NY 11374-5322
(347) 575-8428
Mailing address
6919 ALDERTON ST, REGO PARK, NY 11374-5322
(347) 575-8428
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
002232
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002232
LICENSED BEHAVIOR ANALYST
NY
Enumeration date
12/07/2021
Last updated
12/07/2021
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