Provider Demographics
NPI:1194339598
Name:CAMEJO PEREZ, SARAI KATHERINE
Entity type:Individual
Prefix:
First Name:SARAI
Middle Name:KATHERINE
Last Name:CAMEJO 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 1:15532 SW 71ST ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-2103
Mailing Address - Country:US
Mailing Address - Phone:789-316-6289
Mailing Address - Fax:
Practice Address - Street 1:15532 SW 71ST ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33193-2103
Practice Address - Country:US
Practice Address - Phone:789-316-6289
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-02
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-24-76166103K00000X
FLRBT-20-131936106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician