MR. ELIJAH DANIEL PEREZ (NPI# 1407371818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407371818 |
| Entity Type | Individual |
| Full Name | MR. ELIJAH DANIEL PEREZ |
| Practice Address |
1535 Myrtle Ave Las Cruces NM 88001 |
| Mailing Address |
1535 Myrtle Ave Las Cruces NM 88001-5344 |
| Practice Telephone | 5752223371 |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2017-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
1535 MYRTLE AVE |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020044 | Three Crosses Regional Hospital LLC | General Acute Care Hospital | 2560 Samaritan Drive, Las Cruces, NM 88001 | 2019-12-17 |
| 1760961908 | Halcyon Health of The Southwest, LLC | Nurse Practitioner | 1355 California Ave Ste B, Las Cruces, NM 88001 | 2018-08-08 |
| 1255818530 | Lago Claro, LLC | Counselor | 2410 S. Espina St, Las Cruces, NM 88001 | 2018-07-19 |
| 1982128641 | Krystal Marie Ruiz | Psychologist | 505 S. Main, Ste. 249, Las Cruces, NM 88001 | 2017-08-03 |
| 1457886913 | Mathew Petersen Dds PC | Dentist | 2001 E. Lohman Ave. Suite 121, Las Cruces, NM 88001 | 2017-04-21 |
| 1801343439 | Celia Holmes | Registered Nurse | 505 S Main, Ste 249, Las Cruces, NM 88001 | 2016-09-01 |
| 1427420223 | Sara Guidetti | Family Medicine | 3080 Breland Drive, Las Cruces, NM 88001 | 2015-10-20 |
| 1679987234 | Maria De Jesus Martinez | Nurse Practitioner | 1170 N. Solano Ste A, Las Cruces, NM 88001 | 2014-06-11 |
| 1851701494 | Viola E Garcia | Case Manager/Care Coordinator | 100 W Griggs, Las Cruces, NM 88001 | 2014-05-05 |
| 1851701015 | Sergio Esparza | Home Health Aide | 800 El Paseo Rd., Las Cruces, NM 88001 | 2014-04-28 |
| Find all providers in zip 88001 | ||||
| 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 |
|---|---|---|---|---|
| 1619587144 | Jasmine Crunk | Behavior Technician | 1868 Foster Rd, Las Cruces, NM 88001-4354 | 2020-08-10 |
| 1588274229 | Nohely Olivarez | Behavior Technician | 9669 Missile Ln, Las Cruces, NM 88011-6662 | 2020-08-07 |
| 1801406905 | Samantha Simpson | Behavior Technician | 206 W Union Ave, Las Cruces, NM 88005-3608 | 2020-08-04 |
| 1538779632 | Renee Gomez | Behavior Technician | 2300 Stern Dr Apt 204, Las Cruces, NM 88005-3831 | 2020-08-04 |
| 1801406079 | Allison Boyce | Behavior Technician | 603 2nd St, Las Cruces, NM 88005-2468 | 2020-08-03 |
| 1649888074 | Jeremy Cardwell | Behavior Technician | 1615 S Espina St, Las Cruces, NM 88001-5431 | 2020-07-22 |
| 1518586320 | Marissa Olivarez | Behavior Technician | 8200 Dripping Springs Rd, Las Cruces, NM 88011-5064 | 2020-04-11 |
| 1619506136 | Amy Jo Gartner | Behavior Technician | 1410 Monte Vista Ave, Las Cruces, NM 88001-5730 | 2020-04-06 |
| 1083243737 | Alisha Nichole Porter | Behavior Technician | 2306 S Espina St Apt D9, Las Cruces, NM 88001-5554 | 2020-04-05 |
| 1295364073 | Jasmine Francesca Elizabeth Parker | Behavior Technician | 6534 Puffin St, Las Cruces, NM 88012-8003 | 2020-04-03 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88001 |
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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.