Provider Demographics
NPI:1316510662
Name:GUY, ALEXANDER (BCBA)
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:
Last Name:GUY
Suffix:
Gender:M
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 SKYWAY DR STE A1
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93455-1419
Mailing Address - Country:US
Mailing Address - Phone:805-456-2380
Mailing Address - Fax:
Practice Address - Street 1:2601 SKYWAY DR STE A1
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93455-1419
Practice Address - Country:US
Practice Address - Phone:805-456-2380
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-22
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst