Provider Demographics
NPI:1154797819
Name:GUERRERO, EURIC V (BCBA, MA)
Entity type:Individual
Prefix:MR
First Name:EURIC
Middle Name:V
Last Name:GUERRERO
Suffix:
Gender:M
Credentials:BCBA, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:SLOATSBURG
Mailing Address - State:NY
Mailing Address - Zip Code:10974-1607
Mailing Address - Country:US
Mailing Address - Phone:914-330-3200
Mailing Address - Fax:
Practice Address - Street 1:37 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:SLOATSBURG
Practice Address - State:NY
Practice Address - Zip Code:10974-1607
Practice Address - Country:US
Practice Address - Phone:914-330-3200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-18
Last Update Date:2015-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool