Provider Demographics
NPI:1578257705
Name:LIMA PEREZ, LIANNY (RBT-23-270555)
Entity Type:Individual
Prefix:
First Name:LIANNY
Middle Name:
Last Name:LIMA PEREZ
Suffix:
Gender:F
Credentials:RBT-23-270555
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9455 W FLAGLER ST APT 612
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-2079
Mailing Address - Country:US
Mailing Address - Phone:786-498-4755
Mailing Address - Fax:
Practice Address - Street 1:9455 W FLAGLER ST APT 612
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-2079
Practice Address - Country:US
Practice Address - Phone:786-498-4755
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-08
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-23-270555106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician