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Individual

MS. YAMILA PEREZ ROQUE SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
14923 SW 104TH ST APT 101, MIAMI, FL 33196-2493
(786) 352-0454
Mailing address
14923 SW 104TH ST APT 101, MIAMI, FL 33196-2493
(786) 352-0454

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary

Other

Enumeration date
01/22/2018
Last updated
01/22/2018
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