Active NPI
Adeleisy D Perez, RBT
- Behavior Technician
- Miami Shores, FL
National Provider Identifier
1982386215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- BACB862241
- Practice address
- 800 NE 95TH St
Miami Shores, FL 33138-2564 - Phone
- (305) 519-2855
- NPI assigned
- Aug 4, 2023
- 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 Technician | 106S00000X | BACB862241 | FL | Primary |
Addresses
Primary practice location
800 NE 95TH St
Miami Shores, FL 33138-2564
Mailing address
6024 SW 8TH St Lot E500
West Miami, FL 33144-5066
Phone (305) 613-6718
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 |
|---|---|---|---|
| BACB862241 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716249600000",
"number": "1982386215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6024 SW 8TH ST LOT E500",
"city": "WEST MIAMI",
"state": "FL",
"postal_code": "331445066",
"telephone_number": "305-613-6718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 NE 95TH ST",
"city": "MIAMI SHORES",
"state": "FL",
"postal_code": "331382564",
"telephone_number": "305-519-2855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "ADELEISY",
"middle_name": "D",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-04",
"last_updated": "2024-05-21",
"certification_date": "2024-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "BACB862241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami Shores, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.