Provider Demographics
NPI:1629860416
Name:PEREZ-MIGUEL, JONATHAN (RBT)
Entity type:Individual
Prefix:MR
First Name:JONATHAN
Middle Name:
Last Name:PEREZ-MIGUEL
Suffix:
Gender:M
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 HAMILTON AVE
Mailing Address - Street 2:
Mailing Address - City:SEASIDE
Mailing Address - State:CA
Mailing Address - Zip Code:93955-4737
Mailing Address - Country:US
Mailing Address - Phone:831-224-3176
Mailing Address - Fax:
Practice Address - Street 1:215 W FRANKLIN ST STE 305
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-2714
Practice Address - Country:US
Practice Address - Phone:888-747-4222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CABACB1339206103K00000X
CARBT-25-437215106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst