Most Relevant Information
Provider Data
| NPI Number: | 1003331604 |
| Provider Name: | ILEANA DELEVANTE PEREZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/04/2017 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
642 NW 5TH AVE
MIAMI
FL
331363290
Practice Location Phone/Fax
| Phone: | 7865154109 |
| Fax: |
Provider Mailing Location
642 NW 5TH AVE
MIAMI
FL
331363290
Provider Mailing Phone/Fax
| Phone: | 7865154109 |
| Fax: |