Active NPI
Mariell Andrea Guillen
- Behavior Analyst
- Pembroke Pines, FL
National Provider Identifier
1003555186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-26-2825802
- Practice address
- 17773 SW 2ND St
Pembroke Pines, FL 33029-3924 - Phone
- (954) 589-2347
- NPI assigned
- May 27, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-26-2825802 | FL | Primary |
Addresses
Primary practice location
17773 SW 2ND St
Pembroke Pines, FL 33029-3924
Mailing address
467 Silver Palm Way
Weston, FL 33327-2475
Phone (832) 480-9953
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-22-216616 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782777600000",
"number": "1003555186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "467 SILVER PALM WAY",
"city": "WESTON",
"state": "FL",
"postal_code": "333272475",
"telephone_number": "832-480-9953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17773 SW 2ND ST",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330293924",
"telephone_number": "954-589-2347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUILLEN",
"first_name": "MARIELL",
"middle_name": "ANDREA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-27",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-26-2825802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.