Provider Demographics
NPI:1952198673
Name:PEREZ LIRIANO, ANISLEY
Entity type:Individual
Prefix:
First Name:ANISLEY
Middle Name:
Last Name:PEREZ LIRIANO
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 1:519 HIGHVIEW CIR S
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33510-2406
Mailing Address - Country:US
Mailing Address - Phone:346-317-4381
Mailing Address - Fax:
Practice Address - Street 1:519 HIGHVIEW CIR S
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33510-2406
Practice Address - Country:US
Practice Address - Phone:346-317-4381
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-24
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RBT-25-430941106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician