Individual
ALICIA A PEREZ ANGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2410 NW 111TH AVE, SUNRISE, FL 33322-2545
(786) 443-7779
Mailing address
2410 NW 111TH AVE, SUNRISE, FL 33322-2545
(786) 443-7779
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-45113
FL
Other
Enumeration date
04/17/2019
Last updated
11/29/2022
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