Provider Demographics
NPI:1962267526
Name:ALAYON PEREZ, LIANET
Entity type:Individual
Prefix:
First Name:LIANET
Middle Name:
Last Name:ALAYON PEREZ
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7819 TATUM WATERWAY DR APT 1
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33141-1854
Mailing Address - Country:US
Mailing Address - Phone:305-890-8003
Mailing Address - Fax:
Practice Address - Street 1:7819 TATUM WATERWAY DR APT 1
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33141-1854
Practice Address - Country:US
Practice Address - Phone:305-890-8003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-13
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-23-306630106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL121341300Medicaid