Provider Demographics
NPI:1205935459
Name:GUZMAN, GILDA (LMHC, BCABA)
Entity type:Individual
Prefix:
First Name:GILDA
Middle Name:
Last Name:GUZMAN
Suffix:
Gender:F
Credentials:LMHC, BCABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:998 W 66TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-6470
Mailing Address - Country:US
Mailing Address - Phone:786-506-2416
Mailing Address - Fax:
Practice Address - Street 1:998 W 66TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-6470
Practice Address - Country:US
Practice Address - Phone:786-506-2416
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH9496101YM0800X
FL0-19-9642106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health