Individual
AL PEREZ MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12485 SW 137TH AVE STE 106, MIAMI, FL 33186-4215
(786) 250-4423
Mailing address
11963 SW 208TH TER, MIAMI, FL 33177-5323
(305) 215-7494
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-126338
FL
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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