Provider Demographics
NPI:1962945618
Name:PERETZ, ZOEY
Entity type:Individual
Prefix:
First Name:ZOEY
Middle Name:
Last Name:PERETZ
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 1:18808 STONE CANYON LN
Mailing Address - Street 2:
Mailing Address - City:CANYON COUNTRY
Mailing Address - State:CA
Mailing Address - Zip Code:91351-5026
Mailing Address - Country:US
Mailing Address - Phone:925-683-8386
Mailing Address - Fax:
Practice Address - Street 1:18808 STONE CANYON LN
Practice Address - Street 2:
Practice Address - City:CANYON COUNTRY
Practice Address - State:CA
Practice Address - Zip Code:91351-5026
Practice Address - Country:US
Practice Address - Phone:925-683-8386
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-29
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst