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Individual

SARA ELIZABETH PEREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
5741 OSUNA RD NE APT 511, ALBUQUERQUE, NM 87109-2564
(956) 245-9182
Mailing address
5741 OSUNA RD NE APT 511, ALBUQUERQUE, NM 87109-2564
(956) 245-9182

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
27797995
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
373H00000X
CMS
NM
Enumeration date
12/18/2015
Last updated
10/19/2016
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