Individual
MISS ALDEY PEREZ REAL SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHA,RBT
Contact information
Practice address
3221SW 142AVE, MIAMI, FL 33175
(786) 351-2015
Mailing address
3221 SW 142ND AVE, MIAMI, FL 33175-6728
(785) 351-2015
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
40-2017085
FL
106S00000X
Behavior Technician
4094
FL
Other
Enumeration date
10/17/2017
Last updated
10/17/2017
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