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NPI Code Detail

MEDICARE: LEIRYS EMBADE PEREZ

MEDICARE:   LEIRYS  EMBADE 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 : 1649155474
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEIRYS EMBADE PEREZ
Provider Business Mailing Address
First Line : 3260 BERMUDA ISLE CIR APT 715
Second Line :
City : NAPLES
State : FL
Zip : 34109-3207
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3260 BERMUDA ISLE CIR APT 715
Second Line :
City : NAPLES
State : FL
Zip : 34109-3207
Country : US
Telephone Number : 919-785-6251
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2025
Last Update Date : 08/11/2025

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Directions to “ LEIRYS EMBADE PEREZ ” Practice Location

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