Provider Demographics
NPI:1548900749
Name:GUEVARRA, CIARRA NAIOMI GINES (NONE)
Entity type:Individual
Prefix:
First Name:CIARRA NAIOMI
Middle Name:GINES
Last Name:GUEVARRA
Suffix:
Gender:F
Credentials:NONE
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Mailing Address - Street 1:6355 TOPANGA CANYON BLVD
Mailing Address - Street 2:SUITE 309
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367
Mailing Address - Country:US
Mailing Address - Phone:818-650-1901
Mailing Address - Fax:855-568-2494
Practice Address - Street 1:6355 TOPANGA CANYON BLVD
Practice Address - Street 2:SUITE 309
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367
Practice Address - Country:US
Practice Address - Phone:818-650-1901
Practice Address - Fax:855-568-2494
Is Sole Proprietor?:No
Enumeration Date:2022-03-29
Last Update Date:2022-03-29
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician