Kenneth Alexander Perez

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-56168 Issued in FL

Practice address

5400 S University Dr Ste 502
Davie, FL 33328-5313

Phone

(786) 702-3422

NPI assigned

Oct 24, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1386072650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9015 SW 138TH ST APT H",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331767171",
            "telephone_number": "786-702-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 S UNIVERSITY DR STE 502",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333285313",
            "telephone_number": "786-702-3422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6416 NW 5th Way",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "33309",
            "country_code": "US",
            "telephone_number": "888-754-0398 x704",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6416 NW 5th Way",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "33309",
            "country_code": "US",
            "telephone_number": "888-754-0398 x704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "KENNETH",
        "middle_name": "ALEXANDER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-24",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-21-56168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Perez
• Elba Perez
• Esther Perez
• Isabel Perez
• Jailene Perez
• Kimberly Lucia Perez, LMHC
• Krystin Nicole Perez, APRN
• Lucette Perez
• Marlon Esteban Perez
• Melanie Perez

• Behavior Analyst in Davie, FL
• Providers in Davie, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.

Verify at the official NPI Registry.