Most Relevant Information
Provider Data
| NPI Number: | 1003555186 |
| Provider Name: | MARIELL ANDREA GUILLEN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-22-216616 |
Most Important Dates
| Enumeration Date: | 05/27/2022 |
| Last Updated: | 05/27/2022 |
Provider Practice Location
701 PROMENADE DR STE 250
PEMBROKE PINES
FL
330266035
Practice Location Phone/Fax
| Phone: | 9543992637 |
| Fax: |
Provider Mailing Location
1417 CAPRI LN APT 3808
WESTON
FL
333264023
Provider Mailing Phone/Fax
| Phone: | 8324809953 |
| Fax: |