Provider Demographics
NPI:1740085497
Name:CORE-PEREZ, ANA (RBT)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:
Last Name:CORE-PEREZ
Suffix:
Gender:
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2445 SW 23RD AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33145-3648
Mailing Address - Country:US
Mailing Address - Phone:786-861-5990
Mailing Address - Fax:
Practice Address - Street 1:2800 N OCEAN DR
Practice Address - Street 2:
Practice Address - City:RIVIERA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33404-3297
Practice Address - Country:US
Practice Address - Phone:786-587-5101
Practice Address - Fax:305-596-0188
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-405687106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician