Individual
ILEANA INES PEREZ SANTIESTEBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 SW 58TH CT APT A, MIAMI, FL 33144-3314
(305) 785-5083
Mailing address
101 SW 58TH CT APT A, MIAMI, FL 33144-3314
(305) 785-5083
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
RBT-20-124613
FL
Other
Enumeration date
06/30/2021
Last updated
08/28/2024
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