Guadarrama, Brian P
Guadarrama, Brian P is an sole proprietor health care provider with primary practice located at 1670 Corporate Cir Ste 100 , Petaluma CA 94954-6947. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Guadarrama, Brian P can be contacted via phone (707) 308-2120.Contact Information
Primary practice address
1670 Corporate Cir Ste 100
Petaluma CA 94954-6947
Phone: (707) 308-2120
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1629623632 |
|---|---|
| LBN Legal business name | Guadarrama, Brian P |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 6th, 2019 |
| Last updated | Aug 6th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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