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Individual

ALINA PEREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7221 NW 174TH TER APT 101, HIALEAH, FL 33015-1106
(201) 724-0428
Mailing address
1550 MADRUGA AVE STE 312, CORAL GABLES, FL 33146-3070
(786) 467-7006

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
P620000695840
FL
Enumeration date
01/15/2018
Last updated
06/16/2018
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