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Individual

CARLOS JESUS PEREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3335 NE 13TH CIRCLE DR UNIT 105, HOMESTEAD, FL 33033-6150
(786) 234-2542
Mailing address
3335 NE 13TH CIRCLE DR UNIT 105, HOMESTEAD, FL 33033-6150
(786) 234-2542

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-16-12759
FL
222Q00000X
Developmental Therapist
Primary
FL

Other

Enumeration date
05/06/2016
Last updated
03/30/2022
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