Individual provider Active NPI

Carley L Perlman, MS, BCBA

  • Behavior Analyst
  • Phoenix, AZ
National Provider Identifier
1003470584
Registry record updated Apr 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BEH-000400 Issued in AZ
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, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1-18-32831OtherBOARD ANALYST CERTIFICATION BOARD
BEH-000400OtherAZAZ 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

LicenseStateTypeSpecialty
BEH-000400AZMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.