Jack Marcial Valentine

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1330 Arnold Dr Ste 148
Martinez, CA 94553-6538

Phone

(925) 310-6311

NPI assigned

Oct 20, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1144829136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "852 BIRCHWOOD DR",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945654659",
            "telephone_number": "925-787-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 ARNOLD DR STE 148",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945536538",
            "telephone_number": "925-310-6311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTINE",
        "first_name": "JACK",
        "middle_name": "MARCIAL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-20",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendra Kimberley Urton
• Temre Ann Uzuncan
• Steven Matthew Valdespino, MA
• Courtney V Valdez, PH.D.
• Aimee C Valencia, N.P.
• Zulfikar Vali, M.D.
• Susan A Valley, M.D.
• Kaitlyn Van Arsdell, M.D.
• Claire Emma Van Rooyen, RN, IBCLC
• Ashley Vance, M.D.

• Behavior Technician in Martinez, CA
• Providers in Martinez, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.