Provider Demographics
NPI:1255831806
Name:PEREZ, LAURA Y (BCAT, RBT, BA, BCBA)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:Y
Last Name:PEREZ
Suffix:
Gender:F
Credentials:BCAT, RBT, BA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4865 TRUXTUN AVE
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-0605
Mailing Address - Country:US
Mailing Address - Phone:661-634-0789
Mailing Address - Fax:888-886-4071
Practice Address - Street 1:4865 TRUXTUN AVE
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-0605
Practice Address - Country:US
Practice Address - Phone:661-634-0789
Practice Address - Fax:888-886-4071
Is Sole Proprietor?:No
Enumeration Date:2018-02-20
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
BACB325335106S00000X
CA1-20-44075103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician