Stefany Massicotte Guerrero, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-17-26321 Issued in HI

Practice address

116 Madge LN
Las Vegas, NV 89110-5010

Phone

(702) 503-9315

Fax

(702) 503-9315

NPI assigned

Jul 21, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Mobile Mental Health Support Services, Inc.

  • Physical Disabilities Residential Treatment Facility
  • Las Vegas, NV
  • NPI 1871734772
  NPD (past)

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

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1538544408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 MADGE LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891105010",
            "telephone_number": "702-503-9315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 MADGE LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891105010",
            "telephone_number": "702-503-9315",
            "fax_number": "702-503-9315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3085 S Jones Blvd",
            "address_2": "suite D",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891466782",
            "country_code": "US",
            "telephone_number": "702-888-0036",
            "fax_number": "702-888-0035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "STEFANY",
        "middle_name": "MASSICOTTE",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "HI",
            "license": "1-17-26321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moises E Guerrero
• Monica Guerrero
• Paloma Guerrero
• Paul Martin T Guerrero III
• Rocio Guerrero
• Vanessa Guerrero, BSN, RN
• Yeralinda Guerrero
• Yunco Rafaela Guerrero
• Cecille Tolentino Guese
• Christian Guese

• Behavior Analyst in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Behavior Analyst in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.