Individual
ALYSSA NICOLE PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16300 NW 20TH ST, PEMBROKE PINES, FL 33028-1745
(954) 304-7798
Mailing address
16300 NW 20TH ST, PEMBROKE PINES, FL 33028-1745
(954) 304-7798
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-72045
FL
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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