Individual provider Active NPI

Angela Soriza Perez

  • Behavior Technician
  • El Paso, TX
National Provider Identifier
1578098992
Registry record updated Apr 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
26229684 Issued in TX
Practice address
15549 Blaeu Dr
El Paso, TX 79938-7318
Phone
(915) 777-1666
NPI assigned
Apr 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 26229684 TX Primary

Addresses

Primary practice location

15549 Blaeu Dr
El Paso, TX 79938-7318

Mailing address

15549 Blaeu Dr
El Paso, TX 79938-7318
Phone (915) 777-1666

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

State licenses

LicenseStateTypeSpecialty
26229684TXMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1492905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492905600000",
    "number": "1578098992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15549 BLAEU DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799387318",
            "telephone_number": "915-777-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15549 BLAEU DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799387318",
            "telephone_number": "915-777-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "ANGELA",
        "middle_name": "SORIZA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-23",
        "last_updated": "2017-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "26229684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.