Individual
JENNIFER SEGURA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
815 NW 57TH AVE STE 200-12, MIAMI, FL 33126-2018
(786) 534-7172
Mailing address
815 NW 57TH AVE STE 200-12, MIAMI, FL 33126-2018
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0219453000
—
FL
Enumeration date
11/02/2017
Last updated
11/02/2017
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