Active NPI
Valerie Beaman, BCBA
- Behavior Analyst
- Rochester, NY
National Provider Identifier
1033779665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 000966
- Practice address
- 166 Gordon Dr
Rochester, NY 14626-3834 - Phone
- (585) 623-3142
- NPI assigned
- Jun 17, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 635 | NC | |
| Behavior Analyst | 103K00000X | 5422 | TX | |
| Behavior Analyst | 103K00000X | 000966 | NY | Primary |
Addresses
Primary practice location
166 Gordon Dr
Rochester, NY 14626-3834
Mailing address
166 Gordon Dr
Rochester, NY 14626-3834
Phone (585) 623-3142
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Rochester | Health Information Exchange (HIE) | |
| CONNECT URL | Rochester | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 635 | NC | MD | Behavioral Analyst |
| 000966 | NY | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buckeye Behavioral Consulting Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Beavercreek, OH
- NPI 1902369309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730937600000",
"number": "1033779665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "166 GORDON DR",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146263834",
"telephone_number": "585-623-3142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166 GORDON DR",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146263834",
"telephone_number": "585-623-3142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAMAN",
"first_name": "VALERIE",
"name_prefix": "Mrs.",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-17",
"last_updated": "2024-11-07",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NC",
"license": "635",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "5422",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "000966",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Rochester",
"affiliation": "N",
"endpointDescription": "Work",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Rochester",
"address_1": "166 Gordon Dr",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146263834",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Rochester",
"affiliation": "N",
"endpointDescription": "Work",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Rochester",
"address_1": "166 Gordon Dr",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146263834",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.