Leo Anthony Perucca

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

CB60894935 Issued in WA

Practice address

12826 SE 40TH LN Ste A10
Bellevue, WA 98006-5266

Phone

(206) 552-6724

NPI assigned

Sep 11, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1780299107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12826 SE 40TH LN STE A10",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980065266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12826 SE 40TH LN STE A10",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980065266",
            "telephone_number": "206-552-6724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERUCCA",
        "first_name": "LEO",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-11",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "CB60894935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "leo@elevateseattle.net",
            "affiliation": "Y",
            "affiliationName": "Elevate LLC",
            "address_1": "12826 SE 40th Ln Ste A10",
            "city": "Bellevue",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980065266",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "leo@elevateseattle.net",
            "affiliation": "Y",
            "affiliationName": "Elevate LLC",
            "address_1": "12826 SE 40th Ln Ste A10",
            "city": "Bellevue",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980065266",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "leo@elevateseattle.net",
            "affiliation": "Y",
            "affiliationName": "Elevate LLC",
            "address_1": "12826 SE 40th Ln Ste A10",
            "city": "Bellevue",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980065266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hillary Rose Perry, AUD
• Jessica Perry
• Kristina Maria Perry, M.ED., LMHC, RPT-S
• Roseanna Lee Perry, M.D.
• Zachary Perry
• Jason Peruchini, LMFT
• Manjot Kaur Pesala, LMHC
• Serghei Petcu, DDS
• Alissa Petee, M.ED
• Peter Scheenstra MSW Inc

• Behavior Technician in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Behavior Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.