Provider Demographics
NPI:1396230249
Name:AMERICANO PEREZ, GUADALUPE SARAHI
Entity Type:Individual
Prefix:
First Name:GUADALUPE
Middle Name:SARAHI
Last Name:AMERICANO PEREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 HOWE AVE APT 653
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-3459
Mailing Address - Country:US
Mailing Address - Phone:916-807-0569
Mailing Address - Fax:
Practice Address - Street 1:1100 HOWE AVE APT 653
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-3459
Practice Address - Country:US
Practice Address - Phone:916-807-0569
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-23
Last Update Date:2018-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst