MEDICARE: ALEJANDRO PEREZ GONZALEZ RBT

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	106S00000X	Behavior Technician	RBT-25-414354

General Provider Information

NPI Number	:	1730987801
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEJANDRO PEREZ GONZALEZ RBT

Provider Business Mailing Address
First Line	:	3301 ELIZABETH PL S
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33461-2036
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3301 ELIZABETH PL S
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33461-2036
Country	:	US
Telephone Number	:	561-851-2242
Fax Number	:

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

Provider Enumeration Date	:	03/05/2025
Last Update Date	:	09/17/2025

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