Active NPI
Carley L Perlman, MS, BCBA
- Behavior Analyst
- Phoenix, AZ
National Provider Identifier
1003470584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BEH-000400
- Practice address
- 11024 N 28TH Dr Ste 110
Phoenix, AZ 85029-4378 - Phone
- (602) 944-6222
- Fax
- (602) 944-3534
- NPI assigned
- Apr 30, 2019
- Last updated
- Apr 30, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BEH-000400 | AZ | Primary |
Addresses
Primary practice location
11024 N 28TH Dr Ste 110
Phoenix, AZ 85029-4378
Mailing address
2025 N 3Rd St Ste 250
Phoenix, AZ 85004-1472
Phone (480) 998-2920
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-18-32831 | Other | BOARD ANALYST CERTIFICATION BOARD | |
| BEH-000400 | Other | AZ | AZ STATE BOARD OF PSYCHOLOGIST EXAMINERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BEH-000400 | AZ | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Devereux Foundation | Past | Accepting new patients | |
| The Devereux Foundation | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Devereux Arizona
- Adolescent and Children Mental Health Clinic/Center
- Phoenix, AZ
- NPI 1306939368
-
dba Devereux Arizona
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Scottsdale, AZ
- NPI 1497852768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556582400000",
"number": "1003470584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2025 N 3RD ST STE 250",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850041472",
"telephone_number": "480-998-2920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11024 N 28TH DR STE 110",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850294378",
"telephone_number": "602-944-6222",
"fax_number": "602-944-3534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERLMAN",
"first_name": "CARLEY",
"middle_name": "L",
"credential": "MS, BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-30",
"last_updated": "2019-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AZ",
"license": "BEH-000400",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD ANALYST CERTIFICATION BOARD",
"identifier": "1-18-32831",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AZ STATE BOARD OF PSYCHOLOGIST EXAMINERS",
"identifier": "BEH-000400",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.