Individual
COURTNEY LEE PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA IN EDUCATION
Contact information
Practice address
8801 FOLSOM BLVD STE 265, SACRAMENTO, CA 95826-3250
(916) 382-4447
Mailing address
5738 WINDMILL WAY APT 36, CARMICHAEL, CA 95608-1383
(916) 600-3705
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/26/2016
Last updated
07/29/2020
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