Provider Demographics
NPI:1710613351
Name:PERAZA, LENIA
Entity Type:Individual
Prefix:MISS
First Name:LENIA
Middle Name:
Last Name:PERAZA
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 1:307 NW 72ND AVE APT 420
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-4390
Mailing Address - Country:US
Mailing Address - Phone:786-602-4111
Mailing Address - Fax:
Practice Address - Street 1:307 NW 72ND AVE APT 420
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-4390
Practice Address - Country:US
Practice Address - Phone:786-602-4111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-26
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty