Provider Demographics
NPI:1750179065
Name:GUZMAN PEREZ, YIRANDY BEYANIRYS (RBT-25-429422)
Entity type:Individual
Prefix:
First Name:YIRANDY
Middle Name:BEYANIRYS
Last Name:GUZMAN PEREZ
Suffix:
Gender:F
Credentials:RBT-25-429422
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5410 RISHLEY RUN WAY
Mailing Address - Street 2:
Mailing Address - City:MOUNT DORA
Mailing Address - State:FL
Mailing Address - Zip Code:32757-8018
Mailing Address - Country:US
Mailing Address - Phone:407-807-4127
Mailing Address - Fax:
Practice Address - Street 1:1705 COLONIAL BLVD
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-1195
Practice Address - Country:US
Practice Address - Phone:239-379-8211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-28
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-429422106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst