Individual
ANNELLYS CASTILLA PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2311 SW 122ND CT, MIAMI, FL 33175-7318
(786) 560-3408
Mailing address
2311 SW 122ND CT, MIAMI, FL 33175-7318
(786) 560-3408
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106364300
—
FL
Enumeration date
05/20/2020
Last updated
09/16/2021
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