MEDICARE: ERIKA PEREZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1184448417
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIKA PEREZ

Provider Business Mailing Address
First Line	:	14236 SW 290TH TER
Second Line	:
City	:	HOMESTEAD
State	:	FL
Zip	:	33033-2986
Country	:	US
Telephone Number	:	786-379-0016
Fax Number	:

Provider Business Practice Location Address
First Line	:	17901 OLD CUTLER RD STE B305
Second Line	:
City	:	PALMETTO BAY
State	:	FL
Zip	:	33157-6424
Country	:	US
Telephone Number	:	786-641-1950
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/13/2024
Last Update Date	:	11/13/2024

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Directions to “ ERIKA PEREZ ” Practice Location

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