Provider Demographics
NPI:1457061947
Name:PEREZ RODRIGUEZ, DAILYN (RBT-22-243292)
Entity Type:Individual
Prefix:
First Name:DAILYN
Middle Name:
Last Name:PEREZ RODRIGUEZ
Suffix:
Gender:F
Credentials:RBT-22-243292
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9121 SW 204TH TER
Mailing Address - Street 2:
Mailing Address - City:CURTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33189
Mailing Address - Country:US
Mailing Address - Phone:786-378-0766
Mailing Address - Fax:
Practice Address - Street 1:9121 SW 204TH TER
Practice Address - Street 2:
Practice Address - City:CURTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33189
Practice Address - Country:US
Practice Address - Phone:786-378-0766
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-25
Last Update Date:2022-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-22-243292106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician