Eiliz Perez Diepa

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-50791 Issued in TX

Practice address

11739 Berkway TRL
Houston, TX 77065-5265

Phone

(832) 960-8805

NPI assigned

Apr 16, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• A Big Act ABA Therapy

  • Behavior Analyst
  • Houston, TX
  • NPI 1609625417
  NPD Authorized official
• Abaswf of Texas Corp

  • Behavior Analyst
  • Fort Myers Beach, FL
  • NPI 1760119689
  NPD (past)

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

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1609496967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11739 BERKWAY TRL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770655265",
            "telephone_number": "832-960-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11739 BERKWAY TRL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770655265",
            "telephone_number": "832-960-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ DIEPA",
        "first_name": "EILIZ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-16",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-21-50791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irdenia Perez Cruz
• Caissa Perez de Alejo Ulloa
• Rafael Perez de Camino Quirch
• Yanet Perez Delgado, FNP-C
• Julie Perez Dennis, PHARMD
• Benjamin E Perez Granados, MD
• Sandra Maria Perez Hernandez
• Angelica Perez Luna
• Yuisa Marie Perez Medero
• Lianed Perez Mercado, MD

• Behavior Analyst in Houston, TX
• Providers in Houston, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.