Provider Demographics
NPI:1205344587
Name:GUIARDINU, YOSARAH M
Entity type:Individual
Prefix:
First Name:YOSARAH
Middle Name:M
Last Name:GUIARDINU
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 1:14621 BALGOWAN RD APT 105
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016-6467
Mailing Address - Country:US
Mailing Address - Phone:786-251-9438
Mailing Address - Fax:
Practice Address - Street 1:14621 BALGOWAN RD APT 105
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33016-6467
Practice Address - Country:US
Practice Address - Phone:786-251-9438
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-20
Last Update Date:2018-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician