Individual
ALIE GOMEZ PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5891 PALM AVE, HIALEAH, FL 33012-2757
(786) 920-4141
Mailing address
5891 PALM AVE, HIALEAH, FL 33012-2757
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-476557
FL
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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