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QEARA DESHAWN PERRY NPI 1316408503


NPI Information

NPI: 1316408503
Provider Name: QEARA DESHAWN PERRY
Classification: Behavior Analyst - 103K00000X
Entity Type: Individual
Address:
12740 SARSFIELD AVE
WARREN, MI
ZIP 48089
Phone: (313) 283-5987
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Qeara Deshawn Perry is a behavior analyst in Warren, MI. The provider is a behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. Qeara Deshawn Perry NPI is 1316408503. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12740 SARSFIELD AVE
WARREN, MI
ZIP 48089-815
Phone: (313) 283-5987

The enumeration date for this NPI number is 3/29/2019 and was last updated on 3/29/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1156F00000XTechnician/Technologist0082013411158MICHIGANNo
2156F00000XTechnician/TechnologistNo
3156F00000XTechnician/TechnologistP600707139401MICHIGANNo
4103K00000XBehavior AnalystYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1103344666MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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