Provider Demographics
NPI:1962255976
Name:PEREZ ALVAREZ, ARGELIA ANTUANETTE (RBT 24-335548)
Entity type:Individual
Prefix:
First Name:ARGELIA
Middle Name:ANTUANETTE
Last Name:PEREZ ALVAREZ
Suffix:
Gender:F
Credentials:RBT 24-335548
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 NE 2ND AVE APT 1511
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33132-2558
Mailing Address - Country:US
Mailing Address - Phone:786-508-6186
Mailing Address - Fax:
Practice Address - Street 1:650 NE 2ND AVE APT 1511
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33132-2558
Practice Address - Country:US
Practice Address - Phone:786-508-6186
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-09
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL24-335548106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician