Individual provider Active NPI

Larissa G Valero Zavala, M. ED

  • Behavior Analyst
  • Labadieville, LA
National Provider Identifier
1235888462
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
L-617 Issued in LA
Practice address
120 Convent Street
Labadieville, LA 70372
Phone
(985) 446-6833
Fax
(985) 446-6835
NPI assigned
Mar 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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 L-617 LA Primary

Addresses

Primary practice location

120 Convent Street
Labadieville, LA 70372

Mailing address

PO Box 1137
Thibodaux, LA 70302-1137
Phone (985) 447-7905

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 Education

State licenses

LicenseStateTypeSpecialty
L-617LAMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1235888462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1137",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703021137",
            "telephone_number": "985-447-7905",
            "fax_number": "985-447-7907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CONVENT STREET",
            "city": "LABADIEVILLE",
            "state": "LA",
            "postal_code": "70372",
            "telephone_number": "985-446-6833",
            "fax_number": "985-446-6835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALERO ZAVALA",
        "first_name": "LARISSA",
        "middle_name": "G",
        "credential": "M. ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "LA",
            "license": "L-617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Labadieville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.

Verify at the official NPI Registry.