Anthony Isaiah Guerrero | Moreno Valley, CA • PECOS Search

Anthony Isaiah Guerrero

Behavior Technician

Behavioral Health & Social Service Providers

24081 Sandy Glade Ave, Moreno Valley, CA 92557-5529

PECOS Enrollment

Based on the most recent information from CMS, provider Anthony Isaiah Guerrero does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1932879764
Provider Type
Individual
Full Name
Guerrero, Anthony Isaiah
Gender
Male

Sole Proprietor
Yes
Enumeration Date
9/14/2021
Last Updated
9/14/2021

Contact Information

Practice Location

24081 Sandy Glade Ave, Moreno Valley, CA 92557-5529

Unlisted Fax

Mailing Location

362 E 7th St, Perris, CA 92570-2409

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106S00000X Primary	Description Behavior Technician Behavioral Health & Social Service Providers	License Unlisted Issuer