Renee Perran

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

738 S Bridgeway PL Ste 150
Eagle, ID 83616-6953

Phone

(888) 392-8642

NPI assigned

Jun 3, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1104667468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 N MEADOWHILLS AVE",
            "city": "STAR",
            "state": "ID",
            "postal_code": "836695785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "738 S BRIDGEWAY PL STE 150",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166953",
            "telephone_number": "888-392-8642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRAN",
        "first_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Michael Pease, PTA
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• Peine Osteopathic Medicine PLLC
• Christopher C Peine, D.O.
• Anthony Todd Peppley, PT
• Trenton Lucas Perry, PA
• Ramsay L Peters
• Samuel Petersen, DMD
• Taryn Peterson
• Ann Phillips

• Behavior Technician in Eagle, ID
• Providers in Eagle, ID by specialty
• Behavior Technician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.