Individual provider Active NPI

Ilsy Perez

  • Behavior Analyst
  • Homestead, FL
National Provider Identifier
1508326620
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-23-67299
Practice address
208 NW 19TH St
Homestead, FL 33030-3111
Phone
(786) 503-5853
NPI assigned
Mar 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-23-67299 Primary
Assistant Behavior Analyst 106E00000X 0-19-9635 FL

Addresses

Primary practice location

208 NW 19TH St
Homestead, FL 33030-3111

Mailing address

18090 SW 147TH CT
Miami, FL 33187-1846

Other practice location 1

10481 N Kendall Dr Ste D201
Miami, FL 33176-1528
Phone (786) 560-3505

Other practice location 2

9555 SW 175th Ter Ofc 229
Palmetto Bay, FL 33157-5604
Phone (305) 972-1879

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Behavioral Services Behavior Analyst Current Accepting new patients
Advanced Behavior Coalition Inc Behavior Analyst Past Accepting new patients

Locations

9555 SW 175th Ter
Palmetto Bay, FL 33157
Phone (305) 904-0875

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1553385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1508326620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18090 SW 147TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331871846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 NW 19TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330303111",
            "telephone_number": "786-503-5853"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10481 N Kendall Dr Ste D201",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331761528",
            "country_code": "US",
            "telephone_number": "786-560-3505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9555 SW 175th Ter Ofc 229",
            "address_purpose": "LOCATION",
            "city": "Palmetto Bay",
            "state": "FL",
            "postal_code": "331575604",
            "country_code": "US",
            "telephone_number": "305-972-1879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "ILSY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-24",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-23-67299",
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-19-9635",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.