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NPI Code Detail

MEDICARE: ATALYA PERITZ

MEDICARE: ATALYA PERITZ
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
1106E00000XAssistant Behavior Analyst

General Provider Information

NPI Number : 1417491630
Entity Type Code : Individual
Provider Name (Legal Business Name) : ATALYA PERITZ
Provider Business Mailing Address
First Line : 3520 OAKS WAY APT 904
Second Line :
City : POMPANO BEACH
State : FL
Zip : 33069-5387
Country : US
Telephone Number : 305-807-1909
Fax Number : 305-397-0308
Provider Business Practice Location Address
First Line : 3520 OAKS WAY APT 904
Second Line :
City : POMPANO BEACH
State : FL
Zip : 33069-5387
Country : US
Telephone Number : 305-807-1909
Fax Number : 305-397-0308
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2016
Last Update Date : 12/07/2016

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Directions to “ ATALYA PERITZ ” Practice Location

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