Active NPI
Adriana Patricia Perea
- Behavior Analyst
- Pinole, CA
National Provider Identifier
1457840282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-22-60679
- Practice address
- 1249 Pinole Valley Rd Ste 201
Pinole, CA 94564-1383 - Phone
- (510) 665-9700
- NPI assigned
- May 7, 2018
- 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 | 1-22-60679 | CA | Primary |
Addresses
Primary practice location
1249 Pinole Valley Rd Ste 201
Pinole, CA 94564-1383
Mailing address
2227 W Avenue 136TH Apt B
San Leandro, CA 94577-4154
Phone (510) 514-6837
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": "1525651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723680000000",
"number": "1457840282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2227 W AVENUE 136TH APT B",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945774154",
"telephone_number": "510-514-6837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1249 PINOLE VALLEY RD STE 201",
"city": "PINOLE",
"state": "CA",
"postal_code": "945641383",
"telephone_number": "510-665-9700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREA",
"first_name": "ADRIANA",
"middle_name": "PATRICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-07",
"last_updated": "2024-08-15",
"certification_date": "2024-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-22-60679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pinole, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.