Alexis Renae Valdez

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

5253 Issued in TX

Practice address

1850 Lockhill Selma Rd Ste 106
San Antonio, TX 78213-1552

Phone

(210) 412-0024

NPI assigned

May 31, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bloom Behavioral & Educational Solutions, LLC

  • Behavior Analyst
  • San Antonio, TX
  • NPI 1962829382
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1622419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1043886112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 LOCKHILL SELMA RD STE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 LOCKHILL SELMA RD STE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131552",
            "telephone_number": "210-412-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDEZ",
        "first_name": "ALEXIS",
        "middle_name": "RENAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-31",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "5253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alexis@bloomaba.net",
            "affiliation": "Y",
            "endpointDescription": "E-mail",
            "affiliationName": "Bloom Behavioral & Educational Solutions, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "E-mail",
            "address_1": "1850 Lockhill Selma Rd Ste 106",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782131552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stormy O Valdespino, FNP-C, PMHNP
• Aldo Valdez Cortez
• Valdez Family Clinic, P.a.
• Valdez Family Clinic, P.a.
• Stephanie Valdez-Herrera, MA, LPC
• Alicia Vara Valdez, M.D.
• Amanda Luisa Valdez, BCBA
• Anuar Valdez, LMSW
• Bertha B Valdez
• Bertha M Valdez, LCDC

• All providers in San Antonio, TX
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.