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Individual

NOAH PERALES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2138 FAWNS CREEK XING, MT JULIET, TN 37122-1207
(312) 965-2997
Mailing address
30 VENUE CIR APT 303, LEBANON, TN 37090-1656
(210) 781-1685

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
106S00000X
Behavior Technician
Primary

Other

Enumeration date
11/19/2018
Last updated
10/23/2020
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