Healthcare Provider Details

I. General information

NPI: 1194347096
Provider Name (Legal Business Name): MONICA PATRICE PERRY BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MONICA PATRICE PERRY BCBA

II. Dates (important events)

Enumeration Date: 05/13/2020
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1649 61ST ST STE 3013
BROOKLYN NY
11204-2110
US

IV. Provider business mailing address

524 E KANSAS AVE
MCPHERSON KS
67460-4440
US

V. Phone/Fax

Practice location:
  • Phone: 800-214-0814
  • Fax:
Mailing address:
  • Phone: 984-383-6332
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-2835695
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: