Provider Demographics
NPI:1154772838
Name:PEREZ ALVAREZ, YAZMIN (RBT)
Entity type:Individual
Prefix:MS
First Name:YAZMIN
Middle Name:
Last Name:PEREZ ALVAREZ
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2346 W 66TH PL
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-3973
Mailing Address - Country:US
Mailing Address - Phone:305-987-7399
Mailing Address - Fax:
Practice Address - Street 1:6447 MIAMI LAKES DR E STE 206
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2762
Practice Address - Country:US
Practice Address - Phone:305-640-5739
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-24
Last Update Date:2018-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician