Brizeth Medina Guevara

NPI #1144006859 in Lakewood, New Jersey

Provider Information

NPI Number: 1144006859
Entity Type: Individual
Name: Brizeth Medina Guevara
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 7, 2023
Last Updated: Sep 7, 2023

Practice Location

Address: 311 BOULEVARD OF AMERICAS STE 304
City: Lakewood
State: New Jersey
ZIP Code: 08701-4788
Phone: (732) 806-0091

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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