Provider Demographics
NPI:1891546552
Name:GUZMAN, NAHILYN GRISELDA (RBT)
Entity Type:Individual
Prefix:
First Name:NAHILYN
Middle Name:GRISELDA
Last Name:GUZMAN
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2258 TAY WES DR
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34771-8326
Mailing Address - Country:US
Mailing Address - Phone:407-779-2990
Mailing Address - Fax:
Practice Address - Street 1:2258 TAY WES DR
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34771-8326
Practice Address - Country:US
Practice Address - Phone:407-779-2990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-01
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-24-331491106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician