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NPI Code Detail

MEDICARE: YARISAY PEREZ

MEDICARE:   YARISAY  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 TechnicianRBT-18-63961FL
2106E00000XAssistant Behavior Analyst0-25-15921FL

Other Identifiers

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

General Provider Information

NPI Number : 1972010486
Entity Type Code : Individual
Provider Name (Legal Business Name) : YARISAY PEREZ
Provider Business Mailing Address
First Line : 11224 SW 165TH TER
Second Line :
City : MIAMI
State : FL
Zip : 33157-2726
Country : US
Telephone Number : 786-307-2156
Fax Number :
Provider Business Practice Location Address
First Line : 11224 SW 165TH TER
Second Line :
City : MIAMI
State : FL
Zip : 33157-2726
Country : US
Telephone Number : 786-307-2156
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2018
Last Update Date : 04/18/2025

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Directions to “ YARISAY PEREZ ” Practice Location

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