Sherry Nicole Perez

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-24-390653 Issued in FL

Practice address

1001 Industrial Dr
Crestview, FL 32539-6943

Phone

(850) 400-6098

NPI assigned

Nov 4, 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

State licenses

Practice roles

Locations

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.

• Empowering Minds

  • Behavior Technician
  • Crestview, FL
  • NPI 1679369755
  NPD

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1205659646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 DEER MOSS LOOP APT 2107",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325783448",
            "telephone_number": "843-227-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 INDUSTRIAL DR",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325396943",
            "telephone_number": "850-400-6098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "SHERRY",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-24-390653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pensacola Nephrology, PA
• Gary Charles Perez, PHYSICIAN ASSISTANT
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• Samaria Perkins
• Brittany Perry
• Natasha Nicole Perry, M.A.
• Shentreda Person, LPN

• Behavior Technician in Crestview, FL
• Providers in Crestview, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.