Marcela Perdomo

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-09-5856 Issued in CA

Practice address

815 3Rd Ave Ste 319
Chula Vista, CA 91911-1310

Phone

(619) 691-1880

Fax

(619) 726-5327

NPI assigned

Mar 31, 2010

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

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.

• Helping Children Achieve Family Therapy, Inc.

  • Behavior Analyst
  • El Centro, CA
  • NPI 1659209971
  NPD Authorized official
• Motiva Family Therapists and Behavioral Services Inc

  • Marriage & Family Therapist
  • Chula Vista, CA
  • NPI 1356555932
  NPD (past)

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

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269993600000",
    "number": "1235454364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 3RD AVE STE 319",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919111310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 3RD AVE STE 319",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919111310",
            "telephone_number": "619-691-1880",
            "fax_number": "619-726-5327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERDOMO",
        "first_name": "MARCELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-31",
        "last_updated": "2010-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-09-5856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Blake Pepin
• Claudia Jessica Peralta, MFT
• Denisse Martha Peralta
• Yoselin Cristina Peralta
• Anely Perdomo
• Sofia Casillas Perea
• Allison Perella
• Glenn Howard Perelson, M.D.
• Crystal Nicole Perez Alvarez
• Marelyn Yiseth Perez Badillo, MD

• Behavior Analyst in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; 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.