Healthcare Provider Details

I. General information

NPI: 1114610334
Provider Name (Legal Business Name): ISLEN FURONES PEREZ BCBA-1-26-90759
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2023
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7271 NW 174TH TER APT 203
HIALEAH FL
33015-1113
US

IV. Provider business mailing address

7271 NW 174TH TER APT 203
HIALEAH FL
33015-1113
US

V. Phone/Fax

Practice location:
  • Phone: 786-593-2004
  • Fax:
Mailing address:
  • Phone: 786-593-2004
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-23-275689
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBCBA-1-26-90759
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: