Individual
ANA PAULA MOYA PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3685 CYPRESS LAKE DR, LAKE WORTH, FL 33467-2202
(561) 581-7123
Mailing address
3685 CYPRESS LAKE DR, LAKE WORTH, FL 33467-2202
(561) 581-7123
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-335102
FL
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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