Active NPI
Bryson Jesus Malverde Mellon - Valenzuela
- Behavior Technician
- King George, VA
National Provider Identifier
1275412959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 5219 Kings Wood LN
King George, VA 22485-5612 - Phone
- (540) 750-4499
- NPI assigned
- Aug 28, 2025
- Last updated
- Aug 28, 2025
- Sex
- Male
- 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 | Primary |
Addresses
Primary practice location
5219 Kings Wood LN
King George, VA 22485-5612
Mailing address
5219 Kings Wood LN
King George, VA 22485-5612
Phone (540) 750-4499
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Behavior Placellc | Behavior Technician | Current | Accepting new patients |
Locations
5219 Kings Wood Ln
King George, VA 22485
Phone (540) 750-4499
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756339200000",
"number": "1275412959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5219 KINGS WOOD LN",
"city": "KING GEORGE",
"state": "VA",
"postal_code": "224855612",
"telephone_number": "540-750-4499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5219 KINGS WOOD LN",
"city": "KING GEORGE",
"state": "VA",
"postal_code": "224855612",
"telephone_number": "540-750-4499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELLON - VALENZUELA",
"first_name": "BRYSON",
"middle_name": "JESUS MALVERDE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-08-28",
"last_updated": "2025-08-28",
"certification_date": "2025-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in King George, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.