MEDICARE: HANY PERERA

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
1	103K00000X	Behavior Analyst	1-25-79969	FL
2	106E00000X	Assistant Behavior Analyst	0-24-14991	FL
3	106S00000X	Behavior Technician	RBT-18-55863	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1619468725
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANY PERERA

Provider Business Mailing Address
First Line	:	220 W PARK DR APT 104
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33172-5422
Country	:	US
Telephone Number	:	786-266-0134
Fax Number	:

Provider Business Practice Location Address
First Line	:	220 W PARK DR APT 104
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33172-5422
Country	:	US
Telephone Number	:	786-266-0134
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2018
Last Update Date	:	03/16/2025

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Directions to “ HANY PERERA ” Practice Location

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