Blue Mary Guerra

Individual provider Active NPI Behavior Technician · Heber, CA

NPI 1609577915 · NPPES record last updated Mar 14, 2023

Key facts

NPI
1609577915
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
9 Crane LN
Heber, CA 92249-9224
Phone
(855) 832-6727
NPI assigned
Mar 14, 2023
Sex
Female
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 Yes

Addresses

Primary practice location

9 Crane LN
Heber, CA 92249-9224

Mailing address

7108 S Kanner Hwy
Stuart, FL 34997-7462

Other providers in Heber, CA

All providers in Heber, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.