Provider Demographics
NPI:1700764727
Name:PEREIRA, SOMAIRI
Entity type:Individual
Prefix:
First Name:SOMAIRI
Middle Name:
Last Name:PEREIRA
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 1:7625 NW 100TH AVE
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-3433
Mailing Address - Country:US
Mailing Address - Phone:786-543-1843
Mailing Address - Fax:
Practice Address - Street 1:9240 SW 158TH LN
Practice Address - Street 2:
Practice Address - City:PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-1857
Practice Address - Country:US
Practice Address - Phone:305-788-2849
Practice Address - Fax:786-227-6488
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-26
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-24-320873106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician