Jennifer Perez, MSW, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-11-8170 Issued in NU

Practice address

26 Park St
Suite 2023
Montclair, NJ 07042-3434

Phone

(844) 823-7865

Fax

(973) 783-4407

NPI assigned

Dec 28, 2012

Last updated

Nov 24, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1356652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416787200000",
    "number": "1487990123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 PARK ST",
            "address_2": "SUITE 2023",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423434",
            "telephone_number": "844-823-7865",
            "fax_number": "973-783-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 PARK ST",
            "address_2": "SUITE 2023",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423434",
            "telephone_number": "844-823-7865",
            "fax_number": "973-783-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "MSW, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-28",
        "last_updated": "2014-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": "1-11-8170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Peery, LCSW
• Marcela Pekarova, NP
• Tara Pellegrino
• Jennifer Ann Pepe-Meyers
• Andrea Nadine Perales, MD
• Lauren Perez, LAC
• Rachel H Perlman, LCSW
• Aniella Lincoln Perold, PHD
• Brianna Peterson
• Edward Petrarca, LCSW

• Behavior Analyst in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Behavior Analyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; 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.