Rosa Dinora Perez

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

Practice address

638 Bennington St
East Boston, MA 02128-1576

Phone

(857) 256-2508

Fax

(617) 524-0406

NPI assigned

Nov 13, 2017

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

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510531200000",
    "number": "1447763495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 BENNINGTON ST",
            "city": "EAST BOSTON",
            "state": "MA",
            "postal_code": "021281576",
            "telephone_number": "857-256-2508",
            "fax_number": "617-524-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 BENNINGTON ST",
            "city": "EAST BOSTON",
            "state": "MA",
            "postal_code": "021281576",
            "telephone_number": "857-256-2508",
            "fax_number": "617-524-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "ROSA",
        "middle_name": "DINORA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-13",
        "last_updated": "2017-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Elizabeth Pathe, LCSW
• Sayjal Mahesh Patidar
• Olivia Plato Patsos, DO
• James F Pedulla, M.D.
• Laurie Peluso, MS CCC-SLP
• Viandy Mariela Perez, CNP
• Alfred Petriello, RPT
• Zoe Pfarrer
• Jennifer L Pfau, MD
• Girija Shrikant Phadke, MBBS

• Assistant Behavior Analyst in East Boston, MA
• Providers in East Boston, MA by specialty
• Assistant Behavior Analyst in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; 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.