Individual provider Active NPI

Liliana L Valles, M.S., BCBA

  • Behavior Analyst
  • Fremont, CA
National Provider Identifier
1215395918
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
39420 Liberty St Ste 252a
Fremont, CA 94538-2297
Phone
(510) 698-2896
Fax
(510) 255-6262
NPI assigned
Feb 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

39420 Liberty St Ste 252a
Fremont, CA 94538-2297

Mailing address

39420 Liberty St Ste 252a
Fremont, CA 94538-2297
Phone (510) 698-2896

Other practice location 1

1901 Carnegie Ave
Suit 1-C
Santa Ana, CA 92705-5504
Phone (714) 848-8319

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Footprints Behavioral Interventions, Inc. PastSince Aug 2, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1215395918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39420 LIBERTY ST STE 252A",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382297",
            "telephone_number": "510-698-2896",
            "fax_number": "510-255-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39420 LIBERTY ST STE 252A",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382297",
            "telephone_number": "510-698-2896",
            "fax_number": "510-255-6262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 Carnegie Ave",
            "address_2": "Suit 1-C",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927055504",
            "country_code": "US",
            "telephone_number": "714-848-8319",
            "fax_number": "714-596-6274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALLES",
        "first_name": "LILIANA",
        "middle_name": "L",
        "credential": "M.S., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.