Individual
JENNIFER E PEREZ LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14611 SW 88TH ST APT L303, MIAMI, FL 33186-8059
(786) 424-0850
Mailing address
14611 SW 88TH ST APT L303, MIAMI, FL 33186-8059
(786) 424-0850
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
FL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/03/2018
Last updated
10/13/2020
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