Provider Demographics
NPI:1962294959
Name:PEREZ, YUDELY
Entity type:Individual
Prefix:
First Name:YUDELY
Middle Name:
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 1:2020 JACKSON HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33870-7309
Mailing Address - Country:US
Mailing Address - Phone:863-257-5676
Mailing Address - Fax:
Practice Address - Street 1:2020 JACKSON HEIGHTS DR
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-7309
Practice Address - Country:US
Practice Address - Phone:863-257-5676
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst