CARLOS PERDOMO (NPI# 1356952360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356952360 |
| Entity Type | Individual |
| Full Name | CARLOS PERDOMO |
| Practice Address |
43 Prospect St Bristol RI 02809-3156 |
| Practice Telephone | 5707936219 |
| Mailing Telephone | 5707936219 |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2020-08-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902142862 | Carlos Raulo Perdomo | Physical Therapy Assistant | 955 Nw 3rd St, Miami, FL 33128-1274 | 2012-12-21 |
| Street Address |
43 PROSPECT ST |
| City | BRISTOL |
| State | RI |
| Zip Code | 02809-3156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598246068 | Maryann Bishop | Physical Therapist | 7 Creek Lane, Bristol, RI 02809 | 2018-08-23 |
| 1063913127 | Melanie Hopper Koppelman | Acupuncturist | Harbor Integrative Health, LLC, 60 Poppasquash Road, Bristol, RI 02809 | 2018-02-23 |
| 1871011478 | Ashley Hayes Pereira | Occupational Therapist | 31 Duffield Rd, Bristol, RI 02809 | 2017-09-03 |
| 1447792437 | Marguerite Peruto | Counselor | 10 Wardwell Street, Studio #4, Bristol, RI 02809 | 2016-11-08 |
| 1174829873 | Meghan Elizabeth Martorana | Dietitian, Registered | 685 Metacom Avenue, Bristol, RI 02809 | 2011-01-28 |
| 1881909794 | Hoffmann Chiropractic Inc | Chiropractor | 450 Hope Street, Bristol, RI 02809 | 2010-08-16 |
| 1558555961 | Michael James Allen | Dentist | 36 Bradford Street, Bristol, RI 02809 | 2007-08-29 |
| 1033309141 | Melinda Mary Allaire | Physical Therapist | 2 Ruth Ave, Bristol, RI 02809 | 2007-07-26 |
| 1033240726 | Emily Snow Delconte | Dietitian, Registered | 685 Metacom Ave, Bristol, RI 02809 | 2007-03-07 |
| 1881756203 | Warren Dental Associates Inc | Dentist | 634 Main Street, Warren, RI 02809 | 2006-12-14 |
| Find all providers in zip 02809 | ||||
| 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 |
|---|---|---|---|---|
| 1093315319 | Austin Tanner Cain | Behavior Technician | 40245 Sw Forest Road 181, Bristol, FL 32321-5325 | 2020-10-27 |
| 1104432475 | Haley Denney | Behavior Technician | 471 Wood St Apt 2, Bristol, RI 02809-2311 | 2020-09-21 |
| 1366911307 | Tracy Ann Snicker | Behavior Technician | 24 Park Ln, Bristol, IL 60512-9708 | 2018-11-20 |
| 1194205633 | Catherine Conley | Behavior Technician | 1 Aaron Ave, Bristol, RI 02809-1518 | 2018-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437757606 | Zariyah Tarynn Davis | Behavior Technician | 1 Aldine St, Providence, RI 02909-3954 | 2020-10-11 |
| 1437769973 | Romel Exama | Behavior Technician | 53 Prince St, Pawtucket, RI 02860-2323 | 2020-08-07 |
| 1184249963 | Kimberly Mazzola | Behavior Technician | 222 Norman St, Woonsocket, RI 02895-6647 | 2020-06-08 |
| 1194357632 | Amanda Tarady Kem | Behavior Technician | 7 Barry Rd Apt 3, Providence, RI 02909-4226 | 2020-02-11 |
| 1144869041 | Suzanne Vieira | Behavior Technician | 24 Angela Ave, Cranston, RI 02921-2512 | 2019-12-26 |
| 1386282556 | Tiffany Christine Warner | Behavior Technician | 92 Hunts Ave, Pawtucket, RI 02861-2374 | 2019-12-18 |
| 1235774258 | Flora Kennedy | Behavior Technician | 10 Dorrance St Ste 713, Providence, RI 02903-2018 | 2019-11-13 |
| 1043852965 | Victor Xavier Alicea | Behavior Technician | 25 Carol Ct, Providence, RI 02909-1702 | 2019-10-11 |
| 1669022380 | Darlene Cooper Daft | Behavior Technician | 135 Sloop St, Jamestown, RI 02835-1749 | 2019-09-14 |
| 1730732017 | Karissa Cardoso | Behavior Technician | 36 Cleveland Street, Apt 1, Woonsocket, RI 02895 | 2019-07-16 |
| Find all providers with the same taxonomy | ||||
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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.