Provider Demographics
NPI:1023581469
Name:PERAZA, ZUZEL (BS, RBT)
Entity type:Individual
Prefix:MS
First Name:ZUZEL
Middle Name:
Last Name:PERAZA
Suffix:
Gender:F
Credentials:BS, RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4373 RALEIGH AVE APT 304
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304-5353
Mailing Address - Country:US
Mailing Address - Phone:786-803-2429
Mailing Address - Fax:
Practice Address - Street 1:4373 RALEIGH AVE APT 304
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-5353
Practice Address - Country:US
Practice Address - Phone:786-803-2429
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-08
Last Update Date:2019-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VARBT-17-39784106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician