Provider Demographics
NPI:1336532696
Name:PEREZ, SONNIA BEATRIZ (BCABA)
Entity type:Individual
Prefix:
First Name:SONNIA
Middle Name:BEATRIZ
Last Name:PEREZ
Suffix:
Gender:
Credentials:BCABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3320 SW 97TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-3057
Mailing Address - Country:US
Mailing Address - Phone:786-447-5911
Mailing Address - Fax:
Practice Address - Street 1:3320 SW 97TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-3057
Practice Address - Country:US
Practice Address - Phone:786-447-5911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-11
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH15155103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst