Michelle Guaman
Individual provider Active NPI Behavior Technician · Bogota, NJ
NPI 1164219994 · NPPES record last updated Apr 23, 2025
Key facts
- NPI
- 1164219994
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 222 Maplewood Ave
Bogota, NJ 07603-1743 - Phone
- (646) 804-8067
- NPI assigned
- Apr 23, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
222 Maplewood Ave
Bogota, NJ 07603-1743
Mailing address
222 Maplewood Ave
Bogota, NJ 07603-1743
Phone (646) 804-8067
Other providers in Bogota, NJ
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- James A Gates
- Golden Adult Day Care Inc
- Daniel Eugene Golden
- Ben Stanley Greenberg
- Desirae Harden
- Kids' Therapy Place, LLC
- John Warren King
- Maria Cristina King
- Kings OT and OT Therapy Services LLC.
All providers in Bogota, NJ · Behavior Technician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.