Provider Demographics
NPI:1538046156
Name:DEL SOL PEREZ, TANIA (BEHAVIOR TECHNICIAN)
Entity type:Individual
Prefix:
First Name:TANIA
Middle Name:
Last Name:DEL SOL PEREZ
Suffix:
Gender:F
Credentials:BEHAVIOR TECHNICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2324 THUNDERBOLT TRL APT 120
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33990-1570
Mailing Address - Country:US
Mailing Address - Phone:786-514-1452
Mailing Address - Fax:
Practice Address - Street 1:2324 THUNDERBOLT TRL APT 120
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33990-1570
Practice Address - Country:US
Practice Address - Phone:786-514-1452
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLD622392985000106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty