Active NPI
Alyssa Kitana Valdez
- Assistant Behavior Analyst
- Pauline, SC
National Provider Identifier
1275428237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- License
- 0-25-16185
- Practice address
- 224 Thorncrest Dr
Pauline, SC 29374-1626 - Phone
- (864) 590-0458
- NPI assigned
- Jun 10, 2025
- Sex
- Female
- Sole proprietor
- No
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
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | 0-25-16185 | SC | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
224 Thorncrest Dr
Pauline, SC 29374-1626
Mailing address
224 Thorncrest Dr
Pauline, SC 29374-1626
Phone (864) 590-0458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 10, 2025.
{
"created_epoch": "1749513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749513600000",
"number": "1275428237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 THORNCREST DR",
"city": "PAULINE",
"state": "SC",
"postal_code": "293741626",
"telephone_number": "864-590-0458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 THORNCREST DR",
"city": "PAULINE",
"state": "SC",
"postal_code": "293741626",
"telephone_number": "864-590-0458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALDEZ",
"first_name": "ALYSSA",
"middle_name": "KITANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-10",
"last_updated": "2025-06-10",
"certification_date": "2025-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "SC",
"license": "0-25-16185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pauline, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.