Provider Demographics
NPI:1548713274
Name:PEREZ SANCHEZ, DENISS (BCABA, RMHCI)
Entity type:Individual
Prefix:
First Name:DENISS
Middle Name:
Last Name:PEREZ SANCHEZ
Suffix:
Gender:F
Credentials:BCABA, RMHCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10245 SW 154TH CIRCLE CT APT 107
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-3796
Mailing Address - Country:US
Mailing Address - Phone:786-370-1868
Mailing Address - Fax:
Practice Address - Street 1:10245 SW 154TH CIRCLE CT APT 107
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33196-3796
Practice Address - Country:US
Practice Address - Phone:786-370-1868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-29
Last Update Date:2025-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH24482101YM0800X
FL0-19-10298106E00000X
1-25-82113103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior AnalystGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1-25-82113OtherBEHAVIOR ANALYSIS CERTIFICATION BOARD (BACB)
FL017522100Medicaid
FLIMH24482OtherDEPARTMENT OF HEALTH