NPI 1003383639

Kimberly Juanita Perez

Practitioner Behavior Technician Petaluma, CA

Practice location

Address: 101 H St STE L, Petaluma, CA 94952-5100
Phone: (866) 206-2008
Fax: (866) 317-1665
Mailing address: 2929 N Macarthur Dr Spc 61, Tracy, CA 95376-2019

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in California →

Registry record

NPI: 1003383639
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Nov 2018
Record last updated: 1 Nov 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.