Provider Demographics
NPI:1033924022
Name:PEREZ ROBAINA, CHERLY CELINE
Entity type:Individual
Prefix:
First Name:CHERLY
Middle Name:CELINE
Last Name:PEREZ ROBAINA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:860 SW 129TH PL APT 105
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33184-2103
Mailing Address - Country:US
Mailing Address - Phone:786-992-5830
Mailing Address - Fax:
Practice Address - Street 1:860 SW 129TH PL APT 105
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33184-2103
Practice Address - Country:US
Practice Address - Phone:786-992-5830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-08
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-407852106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician