Lizette Elena Pernas

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

J9F3M4F3 Issued in ID

Practice address

1423 Peger Rd
Fairbanks, AK 99709-5169

Phone

(907) 371-1300

NPI assigned

Jul 14, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1851909089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 FOLKER ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085321",
            "telephone_number": "907-563-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 PEGER RD",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997095169",
            "telephone_number": "907-371-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERNAS",
        "first_name": "LIZETTE",
        "middle_name": "ELENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "ID",
            "license": "J9F3M4F3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lpernas@akbh.org",
            "affiliation": "N",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1423 Peger Rd",
            "city": "Fairbanks",
            "state": "AK",
            "country_code": "US",
            "postal_code": "997095169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Myah Peoples
• Aisha Pereira
• Alejandra Perez, LMT
• Daniel Gene Perkins
• Jill Perkins, BSN
• Sandra Katheryn Perry, RN
• Personett Family Eyecare, LLC
• Chad D Personett, OD
• Colleen Personett, OD
• Karissa Persson, RN

• Behavior Technician in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Behavior Technician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.