MEDICARE: PERALTA RNR SERVICES

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	:	1942066675
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERALTA RNR SERVICES

Provider Business Mailing Address
First Line	:	5457 W 26TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33016-4031
Country	:	US
Telephone Number	:	786-306-1359
Fax Number	:

Provider Business Practice Location Address
First Line	:	5457 W 26TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33016-4031
Country	:	US
Telephone Number	:	786-306-1359
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SEBASTIAN SANCHEZ
Credential	:
Telephone Number	:	786-306-1359

Provider Enumeration Date	:	02/21/2024
Last Update Date	:	02/21/2024

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