Individual
ADRIAN JOSE PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8785 SW 165TH AVE # 103104, MIAMI, FL 33193-5826
(786) 655-9306
Mailing address
6731 SW 2ND ST, MIAMI, FL 33144-2905
(786) 322-0259
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-125580
FL
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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