Active NPI
Irene Dewi Perez
- Behavior Analyst
- Fort Myers, FL
National Provider Identifier
1366216939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-25-84041
- Practice address
- 3880 Colonial Blvd
Fort Myers, FL 33966-1062 - Phone
- (239) 351-3715
- NPI assigned
- Nov 14, 2023
- Sex
- Female
- Sole proprietor
- No
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 Analyst | 103K00000X | 1-25-84041 | FL | Primary |
Addresses
Primary practice location
3880 Colonial Blvd
Fort Myers, FL 33966-1062
Mailing address
4135 Residence Dr Apt 611
Fort Myers, FL 33901-9228
Phone (872) 803-8471
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": "1699920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769558400000",
"number": "1366216939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4135 RESIDENCE DR APT 611",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339019228",
"telephone_number": "872-803-8471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3880 COLONIAL BLVD",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339661062",
"telephone_number": "239-351-3715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "IRENE",
"middle_name": "DEWI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-14",
"last_updated": "2026-01-28",
"certification_date": "2026-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-25-84041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.