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Yenny Coromoto Marquez De Guethon

Behavior Technician in Pompano Beach, FL. Individual provider (NPI-1).

NPI number1962080366
StatusActive
Last updated in NPPESSep 27, 2021

Details

NPI
1962080366
Entity type
Individual (NPI-1)
Name
Yenny Coromoto Marquez De Guethon
Sex
Female
Sole proprietor
No
Enumeration date
Mar 30, 2021
Certification date
Sep 27, 2021
Last updated
Sep 27, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior TechnicianRBT-19-108464FLYes
171M00000X Case Manager/Care Coordinator––

Practice location

4050 Ne 12th Ave
Pompano Beach, FL 33064-6109

Phone 954-548-7283

Mailing address

4050 Ne 12th Ave
Pompano Beach, FL 33064-6109

Phone 954-548-7283

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