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NPI Code Detail

MEDICARE: NICOLE PEREZ RBT

MEDICARE: NICOLE PEREZ RBT
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
1106S00000XBehavior TechnicianRBT-24-343361FL

General Provider Information

NPI Number : 1568210631
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE PEREZ RBT
Provider Business Mailing Address
First Line : 5624 NW 30TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33142-2818
Country : US
Telephone Number : 786-801-7929
Fax Number :
Provider Business Practice Location Address
First Line : 5624 NW 30TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33142-2818
Country : US
Telephone Number : 786-801-7929
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2024
Last Update Date : 05/13/2024

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Directions to “ NICOLE PEREZ RBT” Practice Location

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