Active NPI
Veronica Christine Dutra, BCBA
- Behavior Analyst
- Tarzana, CA
National Provider Identifier
1154830974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-17-26724
- Practice address
- 19019 Ventura Blvd
Tarzana, CA 91356-3253 - Phone
- (818) 501-8352
- NPI assigned
- Sep 25, 2017
- Sex
- Female
- Sole proprietor
- No
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 Analyst | 103K00000X | 1-17-26724 | CO | Primary |
Addresses
Primary practice location
19019 Ventura Blvd
Tarzana, CA 91356-3253
Mailing address
19019 Ventura Blvd
Tarzana, CA 91356-3253
Other names 1
- Veronica Christine Perez
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": "1506297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506297600000",
"number": "1154830974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19019 VENTURA BLVD",
"city": "TARZANA",
"state": "CA",
"postal_code": "913563253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19019 VENTURA BLVD",
"city": "TARZANA",
"state": "CA",
"postal_code": "913563253",
"telephone_number": "818-501-8352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUTRA",
"first_name": "VERONICA",
"middle_name": "CHRISTINE",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-25",
"last_updated": "2017-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CO",
"license": "1-17-26724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VERONICA",
"last_name": "PEREZ",
"middle_name": "CHRISTINE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.