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NPI Code Detail

MEDICARE: ELENA PEREZ

MEDICARE: ELENA 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 : 1952232308
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELENA PEREZ
Provider Business Mailing Address
First Line : 996 ROYAL MARCO WAY
Second Line :
City : MARCO ISLAND
State : FL
Zip : 34145-1829
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1210 CENTRAL BLVD STE A
Second Line :
City : BRENTWOOD
State : CA
Zip : 94513-2379
Country : US
Telephone Number : 925-809-6565
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2026
Last Update Date : 05/26/2026

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Directions to “ ELENA PEREZ ” Practice Location

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