Provider Demographics
NPI:1750869327
Name:PEREZ, YANITZA (BCBA)
Entity type:Individual
Prefix:
First Name:YANITZA
Middle Name:
Last Name:PEREZ
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6830 INDIAN CREEK DR APT 9C
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33141-3815
Mailing Address - Country:US
Mailing Address - Phone:305-491-8348
Mailing Address - Fax:
Practice Address - Street 1:6830 INDIAN CREEK DR APT 9C
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33141-3815
Practice Address - Country:US
Practice Address - Phone:305-491-8348
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-05
Last Update Date:2021-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst