Individual
BIANCA IRENE PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5959 LAKE ELLENOR DR, ORLANDO, FL 32809-4633
(321) 972-4039
Mailing address
1612 SUNBURST WAY, KISSIMMEE, FL 34744-3711
(407) 493-3095
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-72268
FL
106S00000X
Behavior Technician
RBT21156579
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109643300
—
FL
Enumeration date
03/09/2022
Last updated
04/12/2024
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