Active NPI
Natasha Nicole Perry, M.A.
- Behavior Analyst
- Crestview, FL
National Provider Identifier
1609294610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowering Minds Behavioral Services LLC | Behavior Analyst | Current | Accepting new patients |
| Orchard ABA, LLC | Behavior Analyst | Current | 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.
-
- Behavior Analyst
- Crestview, FL
- NPI 1255039830
-
- Behavior Analyst
- Tallahassee, FL
- NPI 1639669666
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.