Individual provider Active NPI

Natali Perilo, BCBA, LBA-NY

  • Behavior Analyst
  • Brooklyn, NY
National Provider Identifier
1154954337
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
00082101 Issued in NY
Practice address
811 Cortelyou Rd Apt 3B
Brooklyn, NY 11218-5298
Phone
(917) 602-4764
NPI assigned
Feb 17, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 00082101 NY Primary

Addresses

Primary practice location

811 Cortelyou Rd Apt 3B
Brooklyn, NY 11218-5298

Mailing address

811 Cortelyou Rd Apt 3B
Brooklyn, NY 11218-5298
Phone (917) 602-4764

Other names 1

  • Natali Wachtman Perilo Professional name

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

State licenses

LicenseStateTypeSpecialty
00082101NYMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1154954337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 CORTELYOU RD APT 3B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112185298",
            "telephone_number": "917-602-4764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 CORTELYOU RD APT 3B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112185298",
            "telephone_number": "917-602-4764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERILO",
        "first_name": "NATALI",
        "credential": "BCBA, LBA-NY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-17",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "00082101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALI",
            "last_name": "WACHTMAN PERILO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.

Verify at the official NPI Registry.