Provider Demographics
NPI:1689567364
Name:GUERRERO, DIANA I
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:
Last Name:GUERRERO
Suffix:I
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5800 SW 127TH AVE APT 2419
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-1458
Mailing Address - Country:US
Mailing Address - Phone:786-426-0051
Mailing Address - Fax:
Practice Address - Street 1:5800 SW 127TH AVE APT 2419
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-1458
Practice Address - Country:US
Practice Address - Phone:786-426-0051
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-31
Last Update Date:2025-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLG660-173-74-761-0106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician