Alejandro Guesler Real Gonzalez

Individual provider Active NPI Behavior Technician · Miami Lakes, FL

NPI 1265254353 · NPPES record last updated Oct 31, 2024

Key facts

NPI
1265254353
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
10090 NW 80 CT
1351
Miami Lakes, FL 33016
Phone
(786) 754-6416
NPI assigned
Oct 29, 2024
Sex
Male
Sole proprietor
Yes

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)CodeLicenseStatePrimary
Behavior Technician 106S00000X FL Yes

Addresses

Primary practice location

10090 NW 80 CT
1351
Miami Lakes, FL 33016

Mailing address

10090 NW 80TH CT Apt 1351
Hialeah Gardens, FL 33016-2241
Phone (786) 754-6416

Other providers in Miami Lakes, FL

All providers in Miami Lakes, FL · Behavior Technician in Florida

Sources for this page

Verify at the official NPI Registry.