Healthcare Provider Details

I. General information

NPI: 1205667052
Provider Name (Legal Business Name): VALERIA SOFIA PEREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2024
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12485 SW 137TH AVE STE 106
MIAMI FL
33186-4215
US

IV. Provider business mailing address

23616 SW 108TH PL
HOMESTEAD FL
33032-6105
US

V. Phone/Fax

Practice location:
  • Phone: 786-250-4423
  • Fax:
Mailing address:
  • Phone: 786-209-8435
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number0-26-17082
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT23-295168
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: