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NPI Code Detail

MEDICARE: ASHLEY PEREZ

MEDICARE: ASHLEY 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
1103K00000XBehavior AnalystNM

General Provider Information

NPI Number : 1528665742
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY PEREZ
Provider Business Mailing Address
First Line : 3415 BATAAN MEMORIAL W
Second Line :
City : LAS CRUCES
State : NM
Zip : 88012-5012
Country : US
Telephone Number : 575-520-6074
Fax Number : 575-520-6074
Provider Business Practice Location Address
First Line : 3415 BATAAN MEMORIAL W
Second Line :
City : LAS CRUCES
State : NM
Zip : 88012-5012
Country : US
Telephone Number : 575-520-6074
Fax Number : 575-520-6074
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2020
Last Update Date : 05/05/2026

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Directions to “ ASHLEY PEREZ ” Practice Location

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