Provider Demographics
NPI:1508626060
Name:LEON PEREZ, ARIESLY
Entity Type:Individual
Prefix:
First Name:ARIESLY
Middle Name:
Last Name:LEON 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 1:750 CHERRY RD
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-6118
Mailing Address - Country:US
Mailing Address - Phone:561-770-2541
Mailing Address - Fax:
Practice Address - Street 1:750 CHERRY RD
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-6118
Practice Address - Country:US
Practice Address - Phone:561-770-2541
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-21
Last Update Date:2024-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician