ELIZABETH SUSAN PERKOVICH (NPI# 1053947234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053947234 |
| Entity Type | Individual |
| Full Name | ELIZABETH SUSAN PERKOVICH |
| Practice Address |
10353 Centrepark Dr Houston TX 77043-1349 |
| Practice Telephone | 7138270600 |
| Mailing Telephone | 7138270600 |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2020-03-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | 19-96076 | TX | Behavioral Health & Social Service Providers |
| Street Address |
10353 CENTREPARK DR |
| City | HOUSTON |
| State | TX |
| Zip Code | 77043-1349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972908275 | Paul Warren | Behavioral Analyst | 10353 Centrepark Dr, Houston, TX 77043-1349 | 2014-10-29 |
| 1437784808 | Nolan Legault | Behavior Technician | 10353 Centrepark Dr, Houston, TX 77043-1349 | 2020-03-06 |
| 1558996199 | Carissa Garcia | Behavior Technician | 10353 Centrepark Dr, Houston, TX 77043-1349 | 2020-03-04 |
| 1710512397 | Sandra Diaz | Behavior Technician | 10353 Centrepark Dr, Houston, TX 77043-1349 | 2020-03-04 |
| 1053946608 | Chika Crystal Asomugha | Behavior Technician | 10353 Centrepark Dr, Houston, TX 77043-1349 | 2020-03-04 |
| 1427683069 | Benjamin Edward Snyder | Behavior Technician | 10353 Centrepark Dr, Houston, TX 77043-1349 | 2020-03-04 |
| 1013542653 | Brittany Solis | Behavior Technician | 10353 Centrepark Dr, Houston, TX 77043-1349 | 2020-03-04 |
| 1295385813 | Rosalind Pena | Behavior Technician | 10353 Centrepark Dr, Houston, TX 77043-1349 | 2019-09-16 |
| 1992354013 | Cristopher Jason Whelan | Behavior Technician | 10353 Centrepark Dr, Houston, TX 77043-1349 | 2019-09-11 |
| 1619526043 | Daniel Fredrick Hatch | Behavior Technician | 10353 Centrepark Dr, Houston, TX 77043-1349 | 2019-09-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386286102 | Keith Nunez | Physical Therapist | 10496 Katy Fwy 101, Houston, TX 77043 | 2019-10-14 |
| 1730730128 | Melinda Lee Mogas | Occupational Therapist | 1900 Kersten Dr., Houston, TX 77043 | 2019-09-26 |
| 1568827491 | Gina Bates | Behavioral Analyst | 1907 Nocturne Ln, Houston, TX 77043 | 2015-12-18 |
| 1770917841 | Stephanie Howard Ambrose | Physical Therapist | 10100 Katy Fwy Ste 170, Houston, TX 77043 | 2013-08-26 |
| 1114271475 | Glencris Construction Inc. | Durable Medical Equipment & Medical Supplies | 2121 Brittmoore Rd., Suite 8400, Houston, TX 77043 | 2012-11-07 |
| 1033468111 | Travis Medical Sales Corporation | Durable Medical Equipment & Medical Supplies | 1332 Upland Drive, Houston, TX 77043 | 2012-09-05 |
| 1770861452 | Myofascial Pain Center | Rehabilitation Practitioner | 1140 Business Center Dr. Ste. 580, Houston, TX 77043 | 2011-07-28 |
| 1871886846 | Jenny T. Wang | Psychologist | 1888 Stebbins Drive, Suite 200, Houston, TX 77043 | 2011-05-24 |
| 1518277458 | Wrenwood Medical Equipment | Durable Medical Equipment & Medical Supplies | 1421 Wycliffe Dr, Houston, TX 77043 | 2010-10-13 |
| 1841518925 | Memorial Surgical Solutions | Clinic/Center | 10504 Katy Freeway, Houston, TX 77043 | 2010-05-13 |
| Find all providers in zip 77043 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285240044 | Brasia Lakeeshia Jones | Behavior Technician | 2851 Wallingford Dr Apt 1211, Houston, TX 77042-3430 | 2020-09-17 |
| 1740895754 | Ana Rosa Miranda Igreja Swan | Behavior Technician | 4540 Cypress Creek Pkwy, Houston, TX 77069-4602 | 2020-09-15 |
| 1497368294 | Isabel Moutoux | Behavior Technician | 511 Fairport Ln, Houston, TX 77079-2430 | 2020-08-31 |
| 1194333807 | Sarina Felton | Behavior Technician | 18203 Westfield Place Dr Apt 211, Houston, TX 77090-1661 | 2020-07-20 |
| 1548885973 | Merilin Saravia | Behavior Technician | 1019 Forestburg Dr, Houston, TX 77038-2215 | 2020-06-11 |
| 1154944973 | Emily Sterken Hale | Behavior Technician | 11831 Normont Dr, Houston, TX 77070-2419 | 2020-05-27 |
| 1720600620 | Lauren Danielle Eureste | Behavior Technician | 10103 Sagedale Dr, Houston, TX 77089-5120 | 2020-05-13 |
| 1073135158 | Freddie Thompson | Behavior Technician | 4138 Brinkley St, Houston, TX 77051-2428 | 2020-05-12 |
| 1275154098 | Thanesha Jackson | Behavior Technician | 15165 Vickery Dr Apt 832, Houston, TX 77032-2561 | 2020-05-04 |
| 1437783909 | Brianna Jene Bowden | Behavior Technician | 13215 Shellhorn Ct, Houston, TX 77014-1452 | 2020-02-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.