Daniel Perry, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

2685 Issued in MA

Practice address

649 Delaware Ave
Delmar, NY 12054-2417

Phone

(978) 790-0386

NPI assigned

Oct 30, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1245874569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7108 S KANNER HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349977462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 DELAWARE AVE",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120542417",
            "telephone_number": "978-790-0386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "DANIEL",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-30",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "2685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Wakefield",
            "affiliation": "N",
            "address_1": "301 Edgewater Pl Ste 100",
            "city": "Wakefield",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018801281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tiffany Krugger Patounas, MA
• Barbara Farrell Pats, PH.D.
• John B. Pember, LCSW-R
• Cynthia Perlin, L.C.S.W.
• Alexis Weymann Perlmutter, M.D.
• Mary Amanda Petacchi, LMT
• Laura E Pica, M.D.
• Virginia A Plaisted, D.D.S.
• Patricia B. Politi, RPH
• Robin Love Pollitzer, LMSW

• Behavior Analyst in Delmar, NY
• Providers in Delmar, NY by specialty
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.