Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 0-03-1053 | FL |
NPI | 1013156892 |
---|---|
Provider Name | Mrs. Ana Maria Perez |
First Address | Pembroke Pines, FL 33024-4562 |
Second Address | Pembroke Pines, FL 33024-4562 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/02/2009 |
Last Update Date | 18/02/2009 |