MEDICARE: LAIGIN PATRICIA 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	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1457872582
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAIGIN PATRICIA PEREZ

Provider Business Mailing Address
First Line	:	8254 SW 197TH TER
Second Line	:
City	:	CUTLER BAY
State	:	FL
Zip	:	33189-2028
Country	:	US
Telephone Number	:	305-609-3438
Fax Number	:

Provider Business Practice Location Address
First Line	:	8001 OLD CUTLER RD # 653
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33156-6750
Country	:	US
Telephone Number	:	305-791-2713
Fax Number	:

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

Provider Enumeration Date	:	06/28/2017
Last Update Date	:	06/28/2017

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Directions to “ LAIGIN PATRICIA PEREZ ” Practice Location

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