Individual provider Active NPI

Ivonne Michelle Ayala Perez, RBT

  • Behavior Technician
  • Orlando, FL
National Provider Identifier
1215577242
Registry record updated Mar 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
A416413965960 Issued in FL
Practice address
4355 Fountainview LN Apt 7101
Orlando, FL 32808-5707
Phone
(484) 425-3150
NPI assigned
Jan 7, 2020
Last updated
Mar 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X A416413965960 FL Primary

Addresses

Primary practice location

4355 Fountainview LN Apt 7101
Orlando, FL 32808-5707

Mailing address

4355 Fountainview LN Apt 7101
Orlando, FL 32808-5707
Phone (484) 425-3150

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
A416413965960FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616889600000",
    "number": "1215577242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4355 FOUNTAINVIEW LN APT 7101",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328085707",
            "telephone_number": "484-425-3150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4355 FOUNTAINVIEW LN APT 7101",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328085707",
            "telephone_number": "484-425-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYALA PEREZ",
        "first_name": "IVONNE",
        "middle_name": "MICHELLE",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-07",
        "last_updated": "2021-03-28",
        "certification_date": "2021-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "A416413965960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2021; 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.