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Individual

ADACELYS S PEREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5171 GLENWOOD AVE STE 200, RALEIGH, NC 27612-3266
(919) 863-3852
Mailing address
5171 GLENWOOD AVE STE 200, RALEIGH, NC 27612-3266

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106S00000X
Behavior Technician

Other

Enumeration date
03/13/2020
Last updated
03/13/2020
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