Provider Demographics
NPI:1053100438
Name:PERRY, NATASHA ANN
Entity type:Individual
Prefix:
First Name:NATASHA
Middle Name:ANN
Last Name:PERRY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6019 SUNRISE LN
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28112-7611
Mailing Address - Country:US
Mailing Address - Phone:828-844-0503
Mailing Address - Fax:
Practice Address - Street 1:6019 SUNRISE LN
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28112-7611
Practice Address - Country:US
Practice Address - Phone:828-844-0503
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-02
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst