Individual
LISA PEREYRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2510 WESTCHESTER AVE, BRONX, NY 10461-3585
(718) 597-5558
Mailing address
1856 LAFAYETTE AVE APT 2C, BRONX, NY 10473-2842
(347) 356-1739
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/24/2014
Last updated
12/24/2014
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