Active NPI
Mariah Catherine Perez
- Behavior Analyst
- San Antonio, TX
National Provider Identifier
1780253377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 40807267
- Practice address
- 700 N Saint Marys St Ste 1400
San Antonio, TX 78205-3535 - Phone
- (847) 465-9556
- NPI assigned
- Jun 18, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 40807267 | TX | Primary |
Addresses
Primary practice location
700 N Saint Marys St Ste 1400
San Antonio, TX 78205-3535
Mailing address
12601 Black Hills Dr
Austin, TX 78748-1010
Phone (512) 608-3603
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 |
|---|---|---|---|
| 40807267 | TX | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623974400000",
"number": "1780253377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12601 BLACK HILLS DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787481010",
"telephone_number": "512-608-3603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 N SAINT MARYS ST STE 1400",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782053535",
"telephone_number": "847-465-9556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "MARIAH",
"middle_name": "CATHERINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-18",
"last_updated": "2021-06-18",
"certification_date": "2021-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "40807267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.