Individual
JUSTINE MONET PERANICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
730 PEACHTREE ST NE STE 570, ATLANTA, GA 30308-1244
(404) 551-5330
Mailing address
1308 DART ST, HOUSTON, TX 77007-6206
(281) 773-1048
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-56270
TX
103K00000X
Behavior Analyst
4670
TX
106E00000X
Assistant Behavior Analyst
0-17-7864
TX
Other
Enumeration date
03/08/2018
Last updated
10/11/2023
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