Individual
SELENA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
185 W 170TH ST APT 3C, BRONX, NY 10452-2520
(929) 429-0157
Mailing address
185 W 170TH ST APT 3C, BRONX, NY 10452-2520
(929) 429-0157
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/31/2022
Last updated
03/31/2022
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