Provider Demographics
NPI:1598138026
Name:GUFFEY, WENDY (BCBA)
Entity Type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:
Last Name:GUFFEY
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:MISS
Other - First Name:WENDY
Other - Middle Name:ISABEL
Other - Last Name:LORENZI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3222 HOWARD ST APT 1007
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212-2370
Mailing Address - Country:US
Mailing Address - Phone:210-710-0996
Mailing Address - Fax:
Practice Address - Street 1:3222 HOWARD ST APT 1007
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-2370
Practice Address - Country:US
Practice Address - Phone:210-710-0996
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-05
Last Update Date:2015-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-15-19426103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst