Individual
YADIRA MICHELLE PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
850 S LORRAINE AVE, WICHITA, KS 67211-3028
(785) 817-2642
(816) 396-8809
Mailing address
1460 NW VIVION RD, KANSAS CITY, MO 64118-4555
(816) 853-0946
(816) 396-8809
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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