Provider Demographics
NPI:1770454829
Name:GUILLEN BEHAVIOR SERVICES CORP
Entity type:Organization
Organization Name:GUILLEN BEHAVIOR SERVICES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GERARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAYAS GUILLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-867-9272
Mailing Address - Street 1:60 E 3RD ST APT 1004
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-4905
Mailing Address - Country:US
Mailing Address - Phone:786-867-9272
Mailing Address - Fax:
Practice Address - Street 1:60 E 3RD ST APT 1004
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010-4905
Practice Address - Country:US
Practice Address - Phone:786-867-9272
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-12
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty