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Kesha Breann Guzman

Behavior Technician in Duluth, GA. Individual provider (NPI-1).

NPI number1831819002
StatusActive
Last updated in NPPESAug 29, 2022

Details

NPI
1831819002
Entity type
Individual (NPI-1)
Name
Kesha Breann Guzman
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 29, 2022
Certification date
Aug 29, 2022
Last updated
Aug 29, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

2810 Premiere Pkwy
Duluth, GA 30097-5014

Phone 866-523-4268

Mailing address

Dept La 22763
Pasadena, CA 91185-2763

Phone 866-523-4268

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