Corey Perry
Individual provider Active NPI Behavior Analyst · Atascocita, TX
NPI 1164008298 · NPPES record last updated Jan 21, 2025
Key facts
- NPI
- 1164008298
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 7910 (TX)
- Practice address
- 19111 Walden Forest Dr
Atascocita, TX 77346-6010 - Phone
- (281) 560-4110
- NPI assigned
- Mar 19, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7910 | TX | MD | Rehabilitation Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | TX | ||
| Behavior Analyst | 103K00000X | 7910 | TX | Yes |
Addresses
Primary practice location
19111 Walden Forest Dr
Atascocita, TX 77346-6010
Mailing address
8646 Berndale St
Houston, TX 77029-3312
Phone (832) 260-3775
Other providers in Atascocita, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.