Most Relevant Information
Provider Data
| NPI Number: | 1003591207 |
| Provider Name: | DIANELYS LAU PEREIRA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/16/2023 |
| Last Updated: | 06/26/2023 |
Provider Practice Location
7875 NW 12TH ST STE 118
DORAL
FL
331261815
Practice Location Phone/Fax
| Phone: | 7865054449 |
| Fax: | 7866673733 |
Provider Mailing Location
11473 NW 4TH LN
MIAMI
FL
331724964
Provider Mailing Phone/Fax
| Phone: | 7864861820 |
| Fax: |