Provider Demographics
NPI:1316657448
Name:GUZMAN MORFIN, ELMER VENANCIO (BCBA)
Entity type:Individual
Prefix:
First Name:ELMER
Middle Name:VENANCIO
Last Name:GUZMAN MORFIN
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 1:4308 BONAIRE ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93306-1304
Mailing Address - Country:US
Mailing Address - Phone:661-369-9699
Mailing Address - Fax:
Practice Address - Street 1:1901 BRUNDAGE LN
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93304-2848
Practice Address - Country:US
Practice Address - Phone:661-869-1074
Practice Address - Fax:661-869-1075
Is Sole Proprietor?:No
Enumeration Date:2022-11-30
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39354103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst