Active NPI
Scott Mark Perez, BCBA
- Behavior Analyst
- Waco, TX
National Provider Identifier
1891216396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-14-17391
- Practice address
- 3306 Lake Heights Dr
Waco, TX 76708-1543 - Phone
- (830) 660-4775
- NPI assigned
- Jul 5, 2017
- Sex
- Male
- 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 | 1-14-17391 | Primary |
Addresses
Primary practice location
3306 Lake Heights Dr
Waco, TX 76708-1543
Mailing address
3306 Lake Heights Dr
Waco, TX 76708-1543
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-14-17391 | Other | BEHAVIOR ANALYST |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499212800000",
"number": "1891216396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3306 LAKE HEIGHTS DR",
"city": "WACO",
"state": "TX",
"postal_code": "767081543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3306 LAKE HEIGHTS DR",
"city": "WACO",
"state": "TX",
"postal_code": "767081543",
"telephone_number": "830-660-4775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "SCOTT",
"middle_name": "MARK",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-05",
"last_updated": "2017-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-14-17391",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIOR ANALYST",
"identifier": "1-14-17391",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.