Most Relevant Information
Provider Data
| NPI Number: | 1003383639 |
| Provider Name: | KIMBERLY JUANITA PEREZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/01/2018 |
| Last Updated: | 11/01/2018 |
Provider Practice Location
101 H ST STE L
PETALUMA
CA
949525100
Practice Location Phone/Fax
| Phone: | 8662062008 |
| Fax: | 8663171665 |
Provider Mailing Location
2929 N MACARTHUR DR SPC 61
TRACY
CA
953762019
Provider Mailing Phone/Fax
| Phone: | 2096401210 |
| Fax: |