Provider Demographics
NPI:1386472033
Name:GUZMAN, KARINA MARIAH
Entity type:Individual
Prefix:
First Name:KARINA
Middle Name:MARIAH
Last Name:GUZMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 ARNOLD DR
Mailing Address - Street 2:
Mailing Address - City:EAST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06108-2908
Mailing Address - Country:US
Mailing Address - Phone:860-999-4104
Mailing Address - Fax:
Practice Address - Street 1:22 ARNOLD DR
Practice Address - Street 2:
Practice Address - City:EAST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06108-2908
Practice Address - Country:US
Practice Address - Phone:860-999-4104
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-24
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician