Liza Tairanis Perdomo Alvarez, BEHAVIOR ASSISTANT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

20725 Crystal Hill Cir Apt a
Germantown, MD 20874-3950

Phone

(340) 643-8345

NPI assigned

Apr 10, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1649965013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20725 CRYSTAL HILL CIR APT A",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208743950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20725 CRYSTAL HILL CIR APT A",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208743950",
            "telephone_number": "340-643-8345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERDOMO ALVAREZ",
        "first_name": "LIZA",
        "middle_name": "TAIRANIS",
        "name_prefix": "Ms.",
        "credential": "BEHAVIOR ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrienne Pena
• Carine Pena
• Matthew Philip Pendergrass, DDS
• Eric Penner
• Andrea Amelia Pennington, MD
• Michelle F Pereira, PSY.D.
• Giselle Perera
• Bianca Isabel Perez Lutz, DPT
• Personalized Medicine Care Diagnostics LLC
• Menikina A. Pesce, M.D.

• Behavior Technician in Germantown, MD
• Providers in Germantown, MD by specialty
• Behavior Technician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.