Individual
DAGNE PEREZ PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1130 HALLAMWOOD TRL S, LAKELAND, FL 33813-1818
(813) 580-2859
Mailing address
1130 HALLAMWOOD TRL S, LAKELAND, FL 33813-1818
(813) 580-2859
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-26-88636
FL
106S00000X
Behavior Technician
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106S00000X
—
FL
Enumeration date
01/28/2018
Last updated
03/26/2026
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