Active NPI
Lilian Martinez Valeron
- Behavior Technician
- Raleigh, NC
National Provider Identifier
1144948654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 21-174773
- Practice address
- 6752 Olde Province CT
Raleigh, NC 27609-5378 - Phone
- (786) 620-4814
- NPI assigned
- Aug 19, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 21-174773 | FL | Primary |
Addresses
Primary practice location
6752 Olde Province CT
Raleigh, NC 27609-5378
Mailing address
110 Capcom Ave Ste 101
Wake Forest, NC 27587-6531
Phone (919) 594-1879
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 |
|---|---|---|---|
| 21-174773 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660867200000",
"number": "1144948654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 CAPCOM AVE STE 101",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275876531",
"telephone_number": "919-594-1879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6752 OLDE PROVINCE CT",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276095378",
"telephone_number": "786-620-4814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ VALERON",
"first_name": "LILIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-19",
"last_updated": "2022-08-19",
"certification_date": "2022-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "21-174773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.