Medina Guevara, Brizeth

Medina Guevara, Brizeth is an individual health care provider with primary practice located at 311 Boulevard Of Americas Ste 304 , Lakewood NJ 08701-4788. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Medina Guevara, Brizeth can be contacted via phone (732) 806-0091.

Contact Information

Primary practice address
311 Boulevard Of Americas Ste 304 Lakewood NJ 08701-4788
Phone: (732) 806-0091
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1144006859
LBN Legal business name Medina Guevara, Brizeth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2023
Last updated Sep 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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