Provider Demographics
NPI:1720775257
Name:GUERRERO, YUSLEIDY RODRIGUEZ
Entity Type:Individual
Prefix:
First Name:YUSLEIDY
Middle Name:RODRIGUEZ
Last Name:GUERRERO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:YUSLEIDY
Other - Middle Name:RODRIGUEZ
Other - Last Name:SANCHEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:GUERRERO
Mailing Address - Street 1:149 E 37TH ST STE 100
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-2805
Mailing Address - Country:US
Mailing Address - Phone:718-215-5311
Mailing Address - Fax:505-226-3299
Practice Address - Street 1:149 E 37TH ST STE 100
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-2805
Practice Address - Country:US
Practice Address - Phone:718-215-5311
Practice Address - Fax:505-226-3299
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-24
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMBCBA103K00000X106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician