Provider Demographics
NPI:1073250254
Name:PEREZ THERAPY SERVICES, CORP
Entity Type:Organization
Organization Name:PEREZ THERAPY SERVICES, CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:AGUSTINA
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:786-712-7081
Mailing Address - Street 1:4040 DEL PRADO BLVD S STE 823
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33904-7161
Mailing Address - Country:US
Mailing Address - Phone:786-712-7081
Mailing Address - Fax:239-457-1008
Practice Address - Street 1:4040 DEL PRADO BLVD S STE 823
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33904-7161
Practice Address - Country:US
Practice Address - Phone:786-712-7081
Practice Address - Fax:239-457-1008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-18
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty