Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst |
NPI | 1003153040 |
---|---|
Provider Name | Dr. Cheryl Lynne Guerrero |
First Address | Leesburg, FL 34748-2842 |
Second Address | Leesburg, FL 34748 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2013 |
Last Update Date | 17/08/2021 |