Provider Demographics
NPI:1356214233
Name:GUERRIER, JOHN BEETHOVEN
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:BEETHOVEN
Last Name:GUERRIER
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 1:1699 SWAMP CABBAGE DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30045-2225
Mailing Address - Country:US
Mailing Address - Phone:404-590-1677
Mailing Address - Fax:
Practice Address - Street 1:100 COMMERCE DR UNIT 452
Practice Address - Street 2:
Practice Address - City:TYRONE
Practice Address - State:GA
Practice Address - Zip Code:30290-8020
Practice Address - Country:US
Practice Address - Phone:404-590-1677
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-26
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARBT-25-470841106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty