Individual
AILET PERAZA PARADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8359 BEACON BLVD STE 416, FORT MYERS, FL 33907-3065
(180) 092-0192
Mailing address
1138 SE 18TH ST, CAPE CORAL, FL 33990-4569
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/26/2021
Last updated
03/31/2021
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