Individual
ANA SOPHIA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1824 COMMONS CIR STE B, YUKON, OK 73099-9538
(405) 467-6782
(405) 467-6100
Mailing address
8825 NW 85TH ST, OKLAHOMA CITY, OK 73132-4077
(405) 919-5918
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-190855
OK
Other
Enumeration date
10/07/2021
Last updated
11/03/2021
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