Provider Demographics
NPI:1346042058
Name:PEREZ FALCON, INDIRA N/A (ABAT)
Entity type:Individual
Prefix:
First Name:INDIRA
Middle Name:N/A
Last Name:PEREZ FALCON
Suffix:
Gender:
Credentials:ABAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 NINA CT APT 80
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20877-3433
Mailing Address - Country:US
Mailing Address - Phone:703-303-2001
Mailing Address - Fax:
Practice Address - Street 1:7300 CALHOUN PL STE 100
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20855-2791
Practice Address - Country:US
Practice Address - Phone:855-866-9893
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician