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NPI Code Detail

MEDICARE: MISS YENIFFER PEREZ

MEDICARE:  MISS YENIFFER  PEREZ
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
1106S00000XBehavior Technician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124642202
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS YENIFFER PEREZ
Provider Business Mailing Address
First Line : 14921 SW 80TH ST APT 212
Second Line :
City : MIAMI
State : FL
Zip : 33193-3153
Country : US
Telephone Number : 786-291-1136
Fax Number :
Provider Business Practice Location Address
First Line : 14921 SW 80TH ST APT 212
Second Line :
City : MIAMI
State : FL
Zip : 33193-3153
Country : US
Telephone Number : 786-291-1136
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2020
Last Update Date : 06/03/2020

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Directions to “ MISS YENIFFER PEREZ ” Practice Location

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