Provider Demographics
NPI:1700010436
Name:PEREIRA, ANAHIS ((BS, SPECIAL E))
Entity Type:Individual
Prefix:
First Name:ANAHIS
Middle Name:
Last Name:PEREIRA
Suffix:
Gender:F
Credentials:(BS, SPECIAL E)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2614 BISPHAM RD
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34231-8150
Mailing Address - Country:US
Mailing Address - Phone:786-294-5341
Mailing Address - Fax:
Practice Address - Street 1:2614 BISPHAM RD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-8150
Practice Address - Country:US
Practice Address - Phone:786-294-5341
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-09
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist
No252Y00000XAgenciesEarly Intervention Provider Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL222Q00000XOtherDEVELOPMENTAL THERAPIST