Individual provider Active NPI

Ketty M Huerta Perez

  • Behavior Analyst
  • Homestead, FL
National Provider Identifier
1972027704
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-50592 Issued in FL
Practice address
27203 SW 157TH Ave
Homestead, FL 33031-3101
Phone
(786) 357-6284
NPI assigned
Aug 2, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 106S00000X
Behavior Analyst 103K00000X 1-21-50592 FL Primary

Addresses

Primary practice location

27203 SW 157TH Ave
Homestead, FL 33031-3101

Mailing address

27203 SW 157TH Ave
Homestead, FL 33031-3101
Phone (786) 291-2668

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Love Behavioral Health Care LLC CurrentSince Nov 3, 2024 Accepting new patients
Family Love Behavioral Health Care LLC Behavior Analyst CurrentSince Dec 13, 2020 Accepting new patients

Locations

18901 SW 106th Ave
Ste A227
Cutler Bay, FL 33157
Phone (786) 732-7516

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1972027704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27203 SW 157TH AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330313101",
            "telephone_number": "786-291-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27203 SW 157TH AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330313101",
            "telephone_number": "786-357-6284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUERTA PEREZ",
        "first_name": "KETTY",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-02",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-21-50592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.

Verify at the official NPI Registry.