Active NPI
Ayleme Perez
- Behavior Analyst
- Lehigh Acres, FL
National Provider Identifier
1710465950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 12367134
- Practice address
- 3304 12TH St SW
Lehigh Acres, FL 33976-2907 - Phone
- (239) 848-0181
- NPI assigned
- Jul 31, 2018
- Sex
- Female
- Sole proprietor
- No
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 Technician | 106S00000X | FL | ||
| Behavior Analyst | 103K00000X | 12367134 | FL | Primary |
Addresses
Primary practice location
3304 12TH St SW
Lehigh Acres, FL 33976-2907
Mailing address
3304 12TH St SW
Lehigh Acres, FL 33976-2907
Phone (239) 848-0181
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 |
|---|---|---|---|
| 12367134 | FL | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Loving Angels Behavioral Therapy, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Lehigh Acres, FL
- NPI 1194548313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696982400000",
"number": "1710465950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3304 12TH ST SW",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339762907",
"telephone_number": "239-848-0181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3304 12TH ST SW",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339762907",
"telephone_number": "239-848-0181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "AYLEME",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-31",
"last_updated": "2023-10-11",
"certification_date": "2023-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "12367134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lehigh Acres, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.