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NPI Code Detail

MEDICARE: BRIANNA PEREZ

MEDICARE:   BRIANNA  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
1103K00000XBehavior Analyst
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1558061218
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIANNA PEREZ
Provider Business Mailing Address
First Line : 5850 GRANITE PKWY STE 600
Second Line :
City : PLANO
State : TX
Zip : 75024-6753
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8618 W CATALPA AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60656-1705
Country : US
Telephone Number : 872-810-9312
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2023
Last Update Date : 03/14/2023

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Directions to “ BRIANNA PEREZ ” Practice Location

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