Provider Demographics
NPI:1881160547
Name:GURA, AYMEE (BEHAVIOR TECHNICIAN)
Entity type:Individual
Prefix:
First Name:AYMEE
Middle Name:
Last Name:GURA
Suffix:
Gender:F
Credentials:BEHAVIOR TECHNICIAN
Other - Prefix:
Other - First Name:AYMEE
Other - Middle Name:
Other - Last Name:ULLOA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BEHAVIOR TECHNICIAN
Mailing Address - Street 1:8561 NW 28TH ST
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33322-2315
Mailing Address - Country:US
Mailing Address - Phone:786-355-1648
Mailing Address - Fax:
Practice Address - Street 1:8561 NW 28TH ST
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33322-2315
Practice Address - Country:US
Practice Address - Phone:786-355-1648
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-22
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL106S00000X
FLRBT-19-89075106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician