Provider Demographics
NPI:1952086233
Name:MOREJON PEREZ, ALIUCHY
Entity Type:Individual
Prefix:
First Name:ALIUCHY
Middle Name:
Last Name:MOREJON 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 1:3350 W HILLSBOROUGH AVE APT 912
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-5881
Mailing Address - Country:US
Mailing Address - Phone:813-869-0715
Mailing Address - Fax:
Practice Address - Street 1:3350 W HILLSBOROUGH AVE APT 912
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-5881
Practice Address - Country:US
Practice Address - Phone:813-869-0715
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-15
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician