Provider Demographics
NPI:1518540400
Name:PEREZ AGUILILLA, YOKIANA
Entity Type:Individual
Prefix:
First Name:YOKIANA
Middle Name:
Last Name:PEREZ AGUILILLA
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 1:23565 SW 112TH PL
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-4608
Mailing Address - Country:US
Mailing Address - Phone:512-689-3243
Mailing Address - Fax:
Practice Address - Street 1:23565 SW 112TH PL
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33032-4608
Practice Address - Country:US
Practice Address - Phone:512-689-3243
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-29
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-18-67273106S00000X
FL0-21-12097106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0-21-12097OtherBACB
FLRBT-18-67273OtherBACB