Active NPI
Giselle Mary Guerra, BCBA
- Behavior Analyst
- Rego Park, NY
National Provider Identifier
1891453783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 002232
- Practice address
- 6919 Alderton St
Rego Park, NY 11374-5322 - Phone
- (347) 575-8428
- NPI assigned
- Dec 7, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 002232 | NY | Primary |
Addresses
Primary practice location
6919 Alderton St
Rego Park, NY 11374-5322
Mailing address
6919 Alderton St
Rego Park, NY 11374-5322
Phone (347) 575-8428
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002232 | Other | NY | LICENSED BEHAVIOR ANALYST |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gguerra@proudmomentaba.com | Direct | Proud Moments Licensed Behavior Analysts PLLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002232 | NY | MD | Speech-Language Pathologist |
Networks
- Healthfirst Medicare Network H9678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638835200000",
"number": "1891453783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6919 ALDERTON ST",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113745322",
"telephone_number": "347-575-8428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6919 ALDERTON ST",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113745322",
"telephone_number": "347-575-8428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUERRA",
"first_name": "GISELLE",
"middle_name": "MARY",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-07",
"last_updated": "2021-12-07",
"certification_date": "2021-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "002232",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED BEHAVIOR ANALYST",
"identifier": "002232",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gguerra@proudmomentaba.com",
"affiliation": "Y",
"endpointDescription": "email",
"affiliationName": "Proud Moments Licensed Behavior Analysts PLLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1449 37th St Ste 218",
"city": "Brooklyn",
"state": "NY",
"country_code": "US",
"postal_code": "112184383",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Rego Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.