Provider Demographics
NPI:1598528002
Name:GUERRIERI, PETER
Entity Type:Individual
Prefix:
First Name:PETER
Middle Name:
Last Name:GUERRIERI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:395 MOGUL MOUNTAIN DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89523-9622
Mailing Address - Country:US
Mailing Address - Phone:775-815-3074
Mailing Address - Fax:
Practice Address - Street 1:395 MOGUL MOUNTAIN DR
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89523-9622
Practice Address - Country:US
Practice Address - Phone:775-815-3074
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-06
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician