Tara Perez | Passaic, NJ • PECOS Search

Tara Perez

Behavior Analyst

Behavioral Health & Social Service Providers

329 Aycrigg Ave, Passaic, NJ 07055-3713

PECOS Enrollment

Based on the most recent information from CMS, provider Tara Perez does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1821600271
Provider Type
Individual
Full Name
Perez, Tara
Credential
BCBA, TOH

Gender
Female
Sole Proprietor
Yes
Enumeration Date
8/18/2020
Last Updated
8/18/2020

Contact Information

Practice Location

329 Aycrigg Ave, Passaic, NJ 07055-3713

Unlisted Fax

Mailing Location

329 Aycrigg Ave, Passaic, NJ 07055-3713

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 103K00000X Primary	Description Behavior Analyst Behavioral Health & Social Service Providers	License Unlisted Issuer