Active NPI
Dylann Perrone
- Behavior Technician
- Lake Oswego, OR
National Provider Identifier
1063062826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 10202798
- Practice address
- 340 B Ave
Lake Oswego, OR 97034-3012 - Phone
- (503) 303-7212
- Fax
- (503) 210-0879
- NPI assigned
- Sep 13, 2019
- Sex
- Female
- Sole proprietor
- No
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 Technician | 106S00000X | 10202798 | OR | Primary |
Addresses
Primary practice location
340 B Ave
Lake Oswego, OR 97034-3012
Mailing address
7500 San Felipe St Ste 990
Houston, TX 77063-1708
Phone (183) 328-8476
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10202798 | OR | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568332800000",
"number": "1063062826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7500 SAN FELIPE ST STE 990",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770631708",
"telephone_number": "183-328-8476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 B AVE",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970343012",
"telephone_number": "503-303-7212",
"fax_number": "503-210-0879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRONE",
"first_name": "DYLANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-13",
"last_updated": "2019-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "OR",
"license": "10202798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.