Miriam Cisnero Perez

Individual provider Active NPI Behavior Technician · Palmetto, FL

NPI 1447074422 · NPPES record last updated Nov 14, 2024

Key facts

NPI
1447074422
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
663 20TH LN E
Palmetto, FL 34221-3327
Phone
(941) 705-6733
NPI assigned
Nov 14, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

663 20TH LN E
Palmetto, FL 34221-3327

Mailing address

663 20TH LN E
Palmetto, FL 34221-3327
Phone (941) 705-6733

Other providers in Palmetto, FL

All providers in Palmetto, FL · Behavior Technician in Florida

Sources for this page

Verify at the official NPI Registry.