Denise Frances Valderrama

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-50142 Issued in CA

Practice address

2701 Midway Drive
Unit 371141
San Diego, CA 92137

Phone

(619) 962-9211

NPI assigned

Aug 30, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Nocal Behavioral Services LLC

  • Behavior Analyst
  • Ponte Vedra, FL
  • NPI 1184084782
  NPD (past)

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1104593805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 TROPHY DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919418039",
            "telephone_number": "619-962-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 MIDWAY DRIVE",
            "address_2": "UNIT 371141",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92137",
            "telephone_number": "619-962-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDERRAMA",
        "first_name": "DENISE",
        "middle_name": "FRANCES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-21-50142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "475085623",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dorothy Melissa Valcin, FNP-BC
• Christian Roan Alonzo Valdecanas, RPT
• Sueraine Valderrama Rios, MSW, MS, ASW
• Alfredo Jose Valderrama, MFTI
• Ana Valderrama
• Randy Valderrama
• Beatriz Valdes, RBT
• Guido Francisco Valdes, MD
• Jan Alfred Balino Valdes, MA, MFT
• Juan Carlos Valdes

• Behavior Analyst in San Diego, CA
• Providers in San Diego, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.