Active NPI
Marianne T Perri
- Behavior Technician
- Englewood, FL
National Provider Identifier
1083241640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 192 Palm Grove Ave
Englewood, FL 34223-3641 - Phone
- (847) 722-5165
- NPI assigned
- Mar 24, 2020
- 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 Technician | 106S00000X | Primary |
Addresses
Primary practice location
192 Palm Grove Ave
Englewood, FL 34223-3641
Mailing address
192 Palm Grove Ave
Englewood, FL 34223-3641
Phone (847) 722-5165
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8477225165 | Medicaid | FL |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585008000000",
"number": "1083241640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "192 PALM GROVE AVE",
"city": "ENGLEWOOD",
"state": "FL",
"postal_code": "342233641",
"telephone_number": "847-722-5165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "192 PALM GROVE AVE",
"city": "ENGLEWOOD",
"state": "FL",
"postal_code": "342233641",
"telephone_number": "847-722-5165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRI",
"first_name": "MARIANNE",
"middle_name": "T",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-24",
"last_updated": "2020-03-24",
"certification_date": "2020-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8477225165",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Englewood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.