Anis Laura Peralta, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

BACB1281623 Issued in FL

Practice address

18245 Paulson Dr # 104
Port Charlotte, FL 33954-1019

Phone

(504) 338-4316

NPI assigned

Mar 13, 2025

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1741824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1376343939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4129 TARGEE AVE",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342874222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18245 PAULSON DR # 104",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339541019",
            "telephone_number": "504-338-4316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERALTA",
        "first_name": "ANIS",
        "middle_name": "LAURA",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-13",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "BACB1281623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyffanie Pellegrino
• Victor Manuel Pena, M.D.
• Farah Penel, APRN
• Adam Wyatt Pennell, DPT
• Jacob Pennington, D.O.
• Ivor John Percent, M.D.
• Yelissa Perez Alvarez
• Daniel Alejandro Perez Armenteros
• Deynis Perez Delgado
• Isabel Perez Uzcategui

• Behavior Technician in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.