Active NPI
Kamal Perry
- Behavior Technician
- Kissimmee, FL
National Provider Identifier
1255006581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 2111 Majestic Eagle PL
Kissimmee, FL 34746-1915 - Phone
- (502) 650-0818
- Fax
- (386) 230-0119
- NPI assigned
- Aug 10, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | FL | Primary |
Addresses
Primary practice location
2111 Majestic Eagle PL
Kissimmee, FL 34746-1915
Mailing address
829 Hazel Grove CT
Kissimmee, FL 34758-3183
Phone (407) 613-4371
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9548426251 | Medicaid | FL |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628553600000",
"number": "1255006581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "829 HAZEL GROVE CT",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347583183",
"telephone_number": "407-613-4371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2111 MAJESTIC EAGLE PL",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347461915",
"telephone_number": "502-650-0818",
"fax_number": "386-230-0119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "KAMAL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-10",
"last_updated": "2021-08-10",
"certification_date": "2021-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9548426251",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.