Individual provider Active NPI

Natasha Nicole Perry, M.A.

  • Behavior Analyst
  • Crestview, FL
National Provider Identifier
1609294610
Registry record updated Mar 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
6230 Lapis LN
Crestview, FL 32539-5425
Phone
(850) 333-3103
NPI assigned
Apr 7, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2023

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 CA
Behavior Analyst 103K00000X FL Primary

Addresses

Primary practice location

6230 Lapis LN
Crestview, FL 32539-5425

Mailing address

6230 Lapis LN
Crestview, FL 32539-5425
Phone (850) 333-3103

Other practice location 1

510 W 10th St
Lynn Haven, FL 32444-2329
Phone (850) 815-8800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address natasha.perry@empoweringmindsaba.com Empowering Minds Behavioral Services LLC

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
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Empowering Minds Behavioral Services LLC Behavior Analyst CurrentSince Feb 1, 2023 Accepting new patients
Orchard ABA, LLC Behavior Analyst CurrentSince Jan 1, 2023 Accepting new patients

Locations

510 W 10th St
Lynn Haven, FL 32444
Phone (850) 815-8800

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": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679702400000",
    "number": "1609294610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6230 LAPIS LN",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325395425",
            "telephone_number": "850-333-3103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6230 LAPIS LN",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325395425",
            "telephone_number": "850-333-3103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 W 10th St",
            "address_purpose": "LOCATION",
            "city": "Lynn Haven",
            "state": "FL",
            "postal_code": "324442329",
            "country_code": "US",
            "telephone_number": "850-815-8800",
            "fax_number": "850-344-9900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRY",
        "first_name": "NATASHA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-07",
        "last_updated": "2023-03-25",
        "certification_date": "2023-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "natasha.perry@empoweringmindsaba.com",
            "affiliation": "Y",
            "endpointDescription": "Company email",
            "affiliationName": "Empowering Minds Behavioral Services LLC",
            "address_1": "6230 Lapis Ln",
            "city": "Crestview",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325395425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Crestview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2023; 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.