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NPI 1700403953

NPI 1700403953 : ARLIE PEREZ BCBA : MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1700403953
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    Entity Type          |    Individual 
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    Provider Name        |    ARLIE PEREZ BCBA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/02/2020
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    Last Update Date     |    06/19/2022
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Provider Practice Location Address
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    Address Line         |    13195 SW 134TH ST STE 201 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33186-4585
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    Country              |    US
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    Telephone            |    786-206-6500
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3624 JACKSON ST APT 29 
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    City                 |    HOLLYWOOD
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    State                |    FL
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    Zip                  |    33021-8621
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    Country              |    US
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    Telephone            |    954-618-9996
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    106S00000X
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    Taxonomy Name        |    Behavior Technician
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    License Number       |    RBT-20-122233
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    103K00000X
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    Taxonomy Name        |    Behavior Analyst
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    License Number       |    BCBA1-21-53073
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    License Number State |    FL
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