Provider Demographics
NPI:1437866175
Name:MEANA PEREZ, ARLEIDYS
Entity Type:Individual
Prefix:
First Name:ARLEIDYS
Middle Name:
Last Name:MEANA PEREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1822 ABBEY RD APT 207
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33415-9118
Mailing Address - Country:US
Mailing Address - Phone:561-567-4441
Mailing Address - Fax:
Practice Address - Street 1:1822 ABBEY RD APT 207
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33415-9118
Practice Address - Country:US
Practice Address - Phone:561-567-4441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-02
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL22-240408106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician