Provider Demographics
NPI:1912657974
Name:PEREZ, TERESA PARRENO
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:PARRENO
Last Name:PEREZ
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 1:131 S 37TH ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:CA
Mailing Address - Zip Code:94804-3206
Mailing Address - Country:US
Mailing Address - Phone:510-830-6372
Mailing Address - Fax:
Practice Address - Street 1:131 S 37TH ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:CA
Practice Address - Zip Code:94804-3206
Practice Address - Country:US
Practice Address - Phone:510-830-6372
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-24
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician