Individual
INDIANA SAN EMETERIO PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT-20-143931
Contact information
Practice address
3309 W WATERS AVE STE A, TAMPA, FL 33614-2766
(813) 898-0014
(813) 898-0015
Mailing address
5510 N HIMES AVE APT 1506, TAMPA, FL 33614-5777
(281) 653-4877
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-24-15720
FL
106S00000X
Behavior Technician
RBT-20-143931
TX
Other
Enumeration date
10/22/2024
Last updated
01/02/2025
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