Liset Banda Perez

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

22736 Delford Ave
Carson, CA 90745-4503

Phone

(310) 365-4485

NPI assigned

Jul 1, 2020

Sex

Female

Sole proprietor

No

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, last updated by the provider on Jul 1, 2020.

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1669099008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S LAKE AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911013005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22736 DELFORD AVE",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907454503",
            "telephone_number": "310-365-4485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "LISET",
        "middle_name": "BANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-01",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc Leo Garcia Peralta
• Guadalupe Lustre Pereira, DMD
• Elena Perez
• Jessica Perez
• Kerwin Perez
• Perfetta Medical Spa Inc
• Johnny Perkins
• Michael K Perlman, MFT
• Perpetual Hands, a Professional Nursing Corporation
• An Caye Perreras

• All providers in Carson, CA
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; 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.