Individual provider Active NPI

Olivea King-Perez

  • Behavior Technician
  • Ankeny, IA
National Provider Identifier
1992513154
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
1250 SW State St
Ankeny, IA 50023-2555
Phone
(319) 382-9318
NPI assigned
Dec 20, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

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
Circle City ABA of Iowa LLC CurrentSince Dec 22, 2024 Accepting new patients

Locations

2407 SE Delaware Ave
Ankeny, IA 50021
Phone (515) 401-6219

1250 SW State St
Ankeny, IA 50023
Phone (319) 382-9318

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

1250 SW State St
Ankeny, IA 50023-2555

Mailing address

2407 SE Delaware Ave # 1140
Ankeny, IA 50021-4470

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 20, 2024.

{
    "created_epoch": "1734652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1992513154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 SE DELAWARE AVE # 1140",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500214470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 SW STATE ST",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500232555",
            "telephone_number": "319-382-9318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING-PEREZ",
        "first_name": "OLIVEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-20",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.

Verify at the official NPI Registry.