Provider Demographics
NPI:1619853413
Name:PEREZ, JULIETTE KARISA
Entity type:Individual
Prefix:
First Name:JULIETTE
Middle Name:KARISA
Last Name:PEREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1451 SADLER DR APT 4204
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:TX
Mailing Address - Zip Code:78666-3099
Mailing Address - Country:US
Mailing Address - Phone:956-566-8272
Mailing Address - Fax:
Practice Address - Street 1:1451 SADLER DR APT 4204
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-3099
Practice Address - Country:US
Practice Address - Phone:956-566-8272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-15
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician