Individual
INNIA SULEY PEREIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16201 NE 13TH AVE, NORTH MIAMI BEACH, FL 33162-4607
(786) 955-6224
Mailing address
16201 NE 13TH AVE, NORTH MIAMI BEACH, FL 33162-4607
(786) 955-6224
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-20-11036
FL
106S00000X
Behavior Technician
18-65677
FL
Other
Enumeration date
03/31/2017
Last updated
09/30/2020
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