Elizabeth Ann Perkins, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-20-148927 Issued in TX

Practice address

902 Spaulding St
San Angelo, TX 76903-4971

Phone

(325) 658-7750

NPI assigned

Jun 23, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Concho Valley Center for Human Advancement

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Angelo, TX
  • NPI 1801937495
  NPD (past)

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1104495126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 W BEAUREGARD AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769014004",
            "telephone_number": "325-658-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 SPAULDING ST",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769034971",
            "telephone_number": "325-658-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "RBT-20-148927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RBT CERTIFICATION",
            "identifier": "RBT-20-148927",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ABAIRD@MHMRCV.ORG",
            "affiliation": "N",
            "address_1": "1501 W Beauregard Ave",
            "city": "San Angelo",
            "state": "TX",
            "country_code": "US",
            "postal_code": "769014004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elizabeth Ann Penkert, EIS-FQP
• Lorena Del Milagro Perez Povis, MD
• Ana Isabel Perez, EIS-FQP
• Blake Perez, LPC
• Michael Perez, DO
• Judith D. Perkins, BS PT
• Kenneth Adrian Perret II, M.D.
• Nyssah Dawn Perrine, RN, FPMHNP-BC
• Avery Daulton Peters, OT
• Ronald A Peters, DDS

• Behavior Technician in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Behavior Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.