Provider Demographics
NPI:1861001109
Name:GUERRIER, CLAUDINE KESHIA
Entity Type:Individual
Prefix:
First Name:CLAUDINE
Middle Name:KESHIA
Last Name:GUERRIER
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 1:3305 CANIM CT
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94509-5916
Mailing Address - Country:US
Mailing Address - Phone:925-470-6151
Mailing Address - Fax:
Practice Address - Street 1:3305 CANIM CT
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94509-5916
Practice Address - Country:US
Practice Address - Phone:925-470-6151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-23
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician