Provider Demographics
NPI:1992218994
Name:VIERA PEREZ, DANIA (RBT)
Entity Type:Individual
Prefix:
First Name:DANIA
Middle Name:
Last Name:VIERA PEREZ
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1275 W 47TH PL STE 407
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-3451
Mailing Address - Country:US
Mailing Address - Phone:786-409-3231
Mailing Address - Fax:786-409-3273
Practice Address - Street 1:1275 W 47TH PL STE 407
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-3451
Practice Address - Country:US
Practice Address - Phone:786-409-3231
Practice Address - Fax:786-409-3273
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-13
Last Update Date:2017-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty