NPIMap

Organization Active NPI

Perez Therapy Services, Corp

  • Behavior Analyst
  • Cape Coral, FL
National Provider Identifier
1073250254
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
PEREZ THERAPY SERVICES, CORP
Practice address
1801 NE 21St PL
Cape Coral, FL 33909-4608
Phone
(786) 712-7081
Fax
(239) 457-1008
NPI assigned
May 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Authorized official

Name
Michele Agustina Perez, BCBANPI 1306266754
Title
Owner
Phone
(786) 712-7081

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

1801 NE 21St PL
Cape Coral, FL 33909-4608

Mailing address

1801 NE 21St PL
Cape Coral, FL 33909-4608
Phone (786) 712-7081

National Provider Directory

National Provider Directory

Locations

4040 Del Prado Blvd S
Ste 823
Cape Coral, FL 33904

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1073250254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 NE 21ST PL",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339094608",
            "telephone_number": "786-712-7081",
            "fax_number": "239-457-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 NE 21ST PL",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339094608",
            "telephone_number": "786-712-7081",
            "fax_number": "239-457-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEREZ THERAPY SERVICES, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-18",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "AGUSTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-712-7081",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.