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Individual

ADISLEY YERO PEREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
5838 W 26TH AVE, HIALEAH, FL 33016-4741
(954) 279-0495
Mailing address
18815 NW 80TH CT, HIALEAH, FL 33015-5229

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-119536
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
106698100
FL
Enumeration date
07/07/2020
Last updated
08/16/2020
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