Individual
KIRA LOURIE PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1130 BOONE AIRE RD, FLORENCE, KY 41042-1202
(185) 928-2651
Mailing address
1130 BOONE AIRE RD, FLORENCE, KY 41042-1202
(859) 349-2569
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-4646-568832
KY
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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