Individual
MIGUEL PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1520 2ND AVE NW, WEST FARGO, ND 58078-1161
(218) 287-4338
Mailing address
1547 30TH AVE S, MOORHEAD, MN 56560-5149
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-61096
—
174400000X
Specialist
—
—
Other
Enumeration date
08/19/2019
Last updated
11/08/2022
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