Crystally Heart Guanga

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-20-137188 Issued in GU

Practice address

212 Farenholt Ave
Tamuning, GU 96913

Phone

(671) 483-4747

NPI assigned

Oct 14, 2020

Last updated

Oct 14, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hunterspeaks Organization

  • Behavior Technician
  • Tamuning, GU
  • NPI 1841780004
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1306444096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 FARENHOLT AVE",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "96913",
            "telephone_number": "671-483-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 FARENHOLT AVE",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "96913",
            "telephone_number": "671-483-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUANGA",
        "first_name": "CRYSTALLY HEART",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-14",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GU",
            "license": "RBT-20-137188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guam Surgicenter, LLC (Island Cancer Center, LLC)
• Guam Surgicenter, LLC
• Guam Surgicenter, LLC (Guam Surgicenter Clinic)
• Guam Urology, LLC
• Guam X-Ray (Guam Radiology Consultants)
• Esther Lee Guard, D.O.
• Gurusamy Inc. (Health Services of the Pacific - Home Care)
• Pablo Soriano Guzman, M.D.
• GVN Inc. (Hospice)
• GVN Inc.

• Behavior Technician in Tamuning, GU
• Providers in Tamuning, GU by specialty
• Behavior Technician in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.