Individual provider Active NPI

Jose Eduardo Perez, BCBA

  • Behavior Analyst
  • Orange, CA
National Provider Identifier
1215498571
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-19-35024
Practice address
1100 W Town and Country Rd Ste 1250
Orange, CA 92868-4633
Phone
(714) 975-0121
NPI assigned
Mar 28, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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 1-19-35024 Primary

Addresses

Primary practice location

1100 W Town and Country Rd Ste 1250
Orange, CA 92868-4633

Mailing address

1431 W Chateau Ave
Anaheim, CA 92802-1725
Phone (714) 380-1914

Other practice location 1

17421 Collins St
Encino, CA 91316-1310
Phone (818) 457-1117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1100 W Town and Country Rd
Suite 1250
Orange, CA 92868-4633

201 S Anita Dr
Suite 203
Orange, CA 92868-3312

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
About Behavior Consulting, Inc Behavior Analyst Current Accepting new patients
Mindful Approaches Current Accepting new patients
Bright Minds Developmental Center Behavior Analyst PastSince Jul 25, 2021 Accepting new patients

Locations

1100 W Town and Country Rd
Ste 1250
Orange, CA 92868
Phone (657) 339-2799

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1215498571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 W CHATEAU AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928021725",
            "telephone_number": "714-380-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W TOWN AND COUNTRY RD STE 1250",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684633",
            "telephone_number": "714-975-0121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17421 Collins St",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "913161310",
            "country_code": "US",
            "telephone_number": "818-457-1117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "JOSE",
        "middle_name": "EDUARDO",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-28",
        "last_updated": "2021-08-13",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-19-35024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.