Male or Other

Javaris D. Perry

Behavioral Analyst in St Petersburg, FL(View on Map)

Full Name

Javaris Deon Perry

NPI Number

1447807698

NPI Type

Individual Provider

Gender

Male

Enumeration Date

08/22/2019

Specialties

(Taxonomies)

Code

103K00000X
106S00000X

Primary Taxonomy

Yes
No

Licenses

State

Florida

License Number

1-23-70170

Contact
Information

Purpose

Mailing
Location

Address

2600 DR MARTIN LUTHER KING JR ST N
2600 DR MARTIN LUTHER KING JR ST N

City

St Petersburg
St Petersburg

State

FL
FL

Postal Code

33704-2744
33704-2744

Country

US
US

Telephone Number

N/A
(727) 327-2457

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/10/2024

Provider Address

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