Active NPI
Arlie Perez, BCBA
- Behavior Analyst
- Miami, FL
National Provider Identifier
1700403953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BCBA1-21-53073
- Practice address
- 13195 SW 134TH St Ste 201
Miami, FL 33186-4585 - Phone
- (786) 206-6500
- NPI assigned
- Jul 2, 2020
- Last updated
- Jun 19, 2022
- 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 | BCBA1-21-53073 | FL | Primary |
| Behavior Technician | 106S00000X | RBT-20-122233 | FL |
Addresses
Primary practice location
13195 SW 134TH St Ste 201
Miami, FL 33186-4585
Mailing address
3624 Jackson St Apt 29
Hollywood, FL 33021-8621
Phone (954) 618-9996
Other practice location 1
5911 NW 173rd Dr Unit 11
Hialeah, FL 33015-5122
Phone (786) 655-9992
Other practice location 2
2700 NW 62nd St # 110
Fort Lauderdale, FL 33309-1744
Phone (954) 909-5953
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 108739500 | Medicaid | FL | |
| RBT-20-122233 | Other | FL | BACB |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-20-122233 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ark Provision Enterprises, Inc. | Past | Accepting new patients | |
| Embracing Challenges Services Corp | Behavior Analyst | Past | Accepting new patients |
| Ark Provision Enterprises, Inc. | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavior Analyst
- Sunrise, FL
- NPI 1093413320
-
- Developmental Disabilities Clinic/Center
- Hialeah, FL
- NPI 1013683440
-
- Behavior Analyst
- Hialeah, FL
- NPI 1598120156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655596800000",
"number": "1700403953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3624 JACKSON ST APT 29",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330218621",
"telephone_number": "954-618-9996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13195 SW 134TH ST STE 201",
"city": "MIAMI",
"state": "FL",
"postal_code": "331864585",
"telephone_number": "786-206-6500"
}
],
"practiceLocations": [
{
"address_1": "5911 NW 173rd Dr Unit 11",
"address_purpose": "LOCATION",
"city": "Hialeah",
"state": "FL",
"postal_code": "330155122",
"country_code": "US",
"telephone_number": "786-655-9992",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2700 NW 62nd St # 110",
"address_purpose": "LOCATION",
"city": "Fort Lauderdale",
"state": "FL",
"postal_code": "333091744",
"country_code": "US",
"telephone_number": "954-909-5953",
"fax_number": "786-432-1806",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEREZ",
"first_name": "ARLIE",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-02",
"last_updated": "2022-06-19",
"certification_date": "2022-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "BCBA1-21-53073",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-20-122233",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "108739500",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BACB",
"identifier": "RBT-20-122233",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.