Perron, Joseph Thomas
Perron, Joseph Thomas is an individual health care provider with primary practice located at 1210 Fourier Drive Suite #100, Madison WI 53717-1969. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Perron, Joseph Thomas can be contacted via phone (608) 662-9327.Contact Information
Primary practice address
1210 Fourier Drive Suite #100
Madison WI 53717-1969
Phone: (608) 662-9327
Fax: (608) 662-9041
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1839-057 | Wisconsin |
Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 11-140 | Wisconsin |
Profile Details
NPI number | 1063525079 |
---|---|
LBN Legal business name | Perron, Joseph Thomas |
Credentials | PH.D., BCBA-D |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 16th, 2006 |
Last updated | Nov 17th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1063525079 | NPPES |
Wisconsin | MEDICAID | 1063525079 | |
Wisconsin | MEDICAID | 39107600 | |
Wisconsin | Other | 51412 |
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