Provider Demographics
NPI:1770241952
Name:GARCIA PEREZ, WENDY (BCBA)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:
Last Name:GARCIA PEREZ
Suffix:
Gender:
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1530 SW 119TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33184-2420
Mailing Address - Country:US
Mailing Address - Phone:786-614-6922
Mailing Address - Fax:
Practice Address - Street 1:5901 NW 183RD ST STE 212
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-6017
Practice Address - Country:US
Practice Address - Phone:305-705-2743
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-04
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-24-77051103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst