Provider Demographics
NPI:1912354655
Name:GUERRA GARCIA, YANEY (BCBA 1-19-35153)
Entity type:Individual
Prefix:
First Name:YANEY
Middle Name:
Last Name:GUERRA GARCIA
Suffix:
Gender:F
Credentials:BCBA 1-19-35153
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 174TH ST APT 619
Mailing Address - Street 2:
Mailing Address - City:SUNNY ISL BCH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-3316
Mailing Address - Country:US
Mailing Address - Phone:786-468-9977
Mailing Address - Fax:
Practice Address - Street 1:231 174TH ST APT 619
Practice Address - Street 2:
Practice Address - City:SUNNY ISL BCH
Practice Address - State:FL
Practice Address - Zip Code:33160-3316
Practice Address - Country:US
Practice Address - Phone:786-468-9977
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-23
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-19-35153103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst