Individual
ALEXZANDRA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
538 BROADHOLLOW RD, MELVILLE, NY 11747-3676
(631) 385-7780
Mailing address
8814 2ND AVE, NORTH BERGEN, NJ 07047-5280
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
P26780196354972
NJ
Other
Enumeration date
01/23/2017
Last updated
01/26/2017
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