Most Relevant Information
Provider Data
| NPI Number: | 1003313354 |
| Provider Name: | MARLON MANUEL GUANES |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/11/2018 |
| Last Updated: | 04/11/2018 |
Provider Practice Location
6720 W 2ND CT APT 217
HIALEAH
FL
330126767
Practice Location Phone/Fax
| Phone: | 7863392123 |
| Fax: |
Provider Mailing Location
6720 W 2ND CT APT 217
HIALEAH
FL
330126767
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |