Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician | MI |
NPI | 1003381187 |
---|---|
Provider Name | Arriannah D Perez |
First Address | Woodland Hills, CA 91367-7807 |
Second Address | Stanton, MI 48888-8601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2018 |
Last Update Date | 04/10/2018 |