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NPI Code Detail

MEDICARE: REBECCA PEREZ

MEDICARE: REBECCA 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

General Provider Information

NPI Number : 1417812173
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA PEREZ
Provider Business Mailing Address
First Line : 2733 E 12TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-4669
Country : US
Telephone Number : 833-455-8622
Fax Number :
Provider Business Practice Location Address
First Line : 7580 NORTHCLIFF AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44144-3270
Country : US
Telephone Number : 440-886-1800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2025
Last Update Date : 12/16/2025

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Directions to “ REBECCA PEREZ ” Practice Location

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