Provider Demographics
NPI:1194347096
Name:PERRY, MONICA PATRICE (RBT)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:PATRICE
Last Name:PERRY
Suffix:
Gender:
Credentials:RBT
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:PATRICE
Other - Last Name:PERRY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:524 E KANSAS AVE
Mailing Address - Street 2:
Mailing Address - City:MCPHERSON
Mailing Address - State:KS
Mailing Address - Zip Code:67460-4440
Mailing Address - Country:US
Mailing Address - Phone:984-383-6332
Mailing Address - Fax:
Practice Address - Street 1:1649 61ST ST STE 3013
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-2110
Practice Address - Country:US
Practice Address - Phone:800-214-0814
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-13
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL106S00000X
KS106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician