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NPI Code Detail

MEDICARE: ALEJANDRA PEREZ FONSECA

MEDICARE:   ALEJANDRA  PEREZ FONSECA
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
1103K00000XBehavior Analyst1-26-88790FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316570468
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEJANDRA PEREZ FONSECA
Provider Business Mailing Address
First Line : 15648 SW 127TH AVE APT 207
Second Line :
City : MIAMI
State : FL
Zip : 33177-1435
Country : US
Telephone Number : 786-222-3513
Fax Number :
Provider Business Practice Location Address
First Line : 15648 SW 127TH AVE APT 207
Second Line :
City : MIAMI
State : FL
Zip : 33177-1435
Country : US
Telephone Number : 786-222-3513
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2020
Last Update Date : 04/15/2026

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Directions to “ ALEJANDRA PEREZ FONSECA ” Practice Location

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