Individual provider Active NPI

Keidy Torna Perez

  • Behavior Analyst
  • Hialeah, FL
National Provider Identifier
1063940229
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-50447 Issued in FL
Practice address
18938 NW 85TH CT
Hialeah, FL 33015-7252
Phone
(786) 267-8467
NPI assigned
May 31, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-21-50447 FL Primary
Behavior Technician 106S00000X 18-72323 FL

Addresses

Primary practice location

18938 NW 85TH CT
Hialeah, FL 33015-7252

Mailing address

18938 NW 85TH CT
Hialeah, FL 33015-7252
Phone (786) 267-8467

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL HIALEAH

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

LicenseStateTypeSpecialty
18-72323FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Keidy Torna Behavior Services Corp. Behavior Analyst Current Accepting new patients
Keidy Homecare Services Inc Current Accepting new patients
Five Star ABA Services Corp. Behavior Analyst Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1063940229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18938 NW 85TH CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330157252",
            "telephone_number": "786-267-8467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18938 NW 85TH CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330157252",
            "telephone_number": "786-267-8467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORNA PEREZ",
        "first_name": "KEIDY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-31",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-21-50447",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "18-72323",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "HIALEAH",
            "affiliation": "N",
            "address_1": "9862 NW 82nd Ave Apt 407",
            "city": "Hialeah",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330162539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.