Individual
ADRIAN PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17410 NW 48TH AVE, MIAMI GARDENS, FL 33055-3606
(305) 632-7325
Mailing address
17410 NW 48TH AVE, MIAMI GARDENS, FL 33055-3606
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-50053
FL
106S00000X
Behavior Technician
RBT-18-67049
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103746800
—
FL
Enumeration date
08/01/2019
Last updated
07/30/2021
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