Provider Demographics
NPI:1336966084
Name:PEREZ, JOSELYN BRIGUITTE I
Entity type:Individual
Prefix:
First Name:JOSELYN
Middle Name:BRIGUITTE
Last Name:PEREZ
Suffix:I
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:JOSELYN
Other - Middle Name:
Other - Last Name:PEREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3604 192ND ST
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11358-2427
Mailing Address - Country:US
Mailing Address - Phone:347-355-0482
Mailing Address - Fax:
Practice Address - Street 1:3604 192ND ST
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11358-2427
Practice Address - Country:US
Practice Address - Phone:347-355-0482
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-24
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst