Healthcare Provider Details

I. General information

NPI: 1043154867
Provider Name (Legal Business Name): SISI MARLENIA PEREZ PEDRERA RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13477 SW 27TH ST
MIAMI FL
33175-7135
US

IV. Provider business mailing address

13477 SW 27TH ST
MIAMI FL
33175-7135
US

V. Phone/Fax

Practice location:
  • Phone: 786-503-2174
  • Fax: 786-503-2174
Mailing address:
  • Phone: 786-503-2174
  • Fax: 786-503-2174

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-516890
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: