Individual
ANGEL A PEREZ QUINONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9715 FOUNTAINBLEAU BLVD APT 109, MIAMI, FL 33172-6703
(786) 296-5384
Mailing address
9715 FOUNTAINBLEAU BLVD APT 109, MIAMI, FL 33172-6703
(786) 296-5384
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-50003
FL
Other
Enumeration date
12/11/2019
Last updated
06/21/2021
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