Individual provider Active NPI

Vanessa Leshae Villyard

  • Behavior Technician
  • Plano, TX
National Provider Identifier
1104754308
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
512879 Issued in TX
Practice address
5504 Democracy Dr Ste 210
Plano, TX 75024-3597
Phone
(972) 656-1270
Fax
(972) 656-1277
NPI assigned
May 11, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 512879 TX Primary

Addresses

Primary practice location

5504 Democracy Dr Ste 210
Plano, TX 75024-3597

Mailing address

5504 Democracy Dr Ste 210
Plano, TX 75024-3597
Phone (972) 656-1270

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

LicenseStateTypeSpecialty
512879TXMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1778457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1104754308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5504 DEMOCRACY DR STE 210",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243597",
            "telephone_number": "972-656-1270",
            "fax_number": "972-656-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5504 DEMOCRACY DR STE 210",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243597",
            "telephone_number": "972-656-1270",
            "fax_number": "972-656-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLYARD",
        "first_name": "VANESSA",
        "middle_name": "LESHAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-11",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "512879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.