Provider Demographics
NPI:1871121079
Name:AVENT, GUADALUPE CATALINA (RBT)
Entity type:Individual
Prefix:MRS
First Name:GUADALUPE
Middle Name:CATALINA
Last Name:AVENT
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:LUPE
Other - Middle Name:CATALINA
Other - Last Name:AVENT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RBT
Mailing Address - Street 1:PO BOX 10827
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32302-2827
Mailing Address - Country:US
Mailing Address - Phone:850-521-0242
Mailing Address - Fax:850-521-1973
Practice Address - Street 1:1758 SEA LARK LN
Practice Address - Street 2:
Practice Address - City:NAVARRE
Practice Address - State:FL
Practice Address - Zip Code:32566-7406
Practice Address - Country:US
Practice Address - Phone:850-792-4710
Practice Address - Fax:850-521-1973
Is Sole Proprietor?:No
Enumeration Date:2020-04-01
Last Update Date:2020-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst