Individual
YADIRA PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15930 SW 304TH ST, HOMESTEAD, FL 33033-3430
(786) 886-6544
Mailing address
15930 SW 304TH ST, HOMESTEAD, FL 33033-3430
(786) 886-6544
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-20-11593
FL
106S00000X
Behavior Technician
RBT1855779
FL
Other
Enumeration date
03/11/2019
Last updated
02/26/2021
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