Mr Jean David Guillaume I, MS is a
Behavior Technician based in Miami, Florida. Mr Jean David Guillaume I is licensed to practice in Florida (license number RBT-20-121376) and his current practice location is
13316 Sw 128th Psge, Miami, Florida. He can be reached at his office (for appointments etc.) via phone at
(305) 772-1340.
NPI number for Mr Jean David Guillaume I is 1164938908 and his current mailing address is 10454 Sw 227th Ter, Cutler Bay, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164938908.
Healthcare Provider's Profile
| Full Name | Mr Jean David Guillaume I |
|---|
| Gender | Male |
|---|
| Speciality | Behavior Technician |
|---|
| Location | 13316 Sw 128th Psge, Miami, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1164938908
- Provider Enumeration Date: 12/15/2017
- Last Update Date: 07/27/2020
Medical Identifiers
Medical identifiers for Mr Jean David Guillaume I such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164938908 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | G45146472169-0 (Florida) | Secondary |
| 103K00000X | Behavior Analyst | RBT-20-121376 (Florida) | Secondary |
| 106S00000X | Behavior Technician | RBT-20-121376 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jean David Guillaume I is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Jean David Guillaume I, MS
10454 Sw 227th Ter,
Cutler Bay, FL 33190-1397
Ph: (305) 928-9617 | Mr Jean David Guillaume I, MS
13316 Sw 128th Psge,
Miami, FL 33186-5317
Ph: (305) 772-1340 |
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