Most Relevant Information
Provider Data
| NPI Number: | 1003565714 |
| Provider Name: | GIOVANNY GUERRERO DIAZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/21/2022 |
| Last Updated: | 03/21/2022 |
Provider Practice Location
39201 STATE ST
FREMONT
CA
945381437
Practice Location Phone/Fax
| Phone: | 8662062008 |
| Fax: |
Provider Mailing Location
186 SMALLEY AVE
HAYWARD
CA
945414912
Provider Mailing Phone/Fax
| Phone: | 5102396381 |
| Fax: |