Active NPI
Marilynn V. Valiente, M.S., BCBA
- Behavior Analyst
- Dallas, GA
National Provider Identifier
1316475445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-19-37295
- Practice address
- 296 Merchants SQ
Dallas, GA 30132-5029 - Phone
- (470) 391-2300
- NPI assigned
- Jun 2, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-19-37295 | FL | |
| Behavior Technician | 106S00000X | RBT-16-18732 | FL | |
| Behavior Analyst | 103K00000X | 1-19-37295 | GA | Primary |
Addresses
Primary practice location
296 Merchants SQ
Dallas, GA 30132-5029
Mailing address
300 International Pkwy Ste 200
Lake Mary, FL 32746-5028
Phone (407) 955-4001
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020813000 | Medicaid | FL | |
| 003225511A | Medicaid | GA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-16-18732 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752710400000",
"number": "1316475445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 INTERNATIONAL PKWY STE 200",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327465028",
"telephone_number": "407-955-4001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "296 MERCHANTS SQ",
"city": "DALLAS",
"state": "GA",
"postal_code": "301325029",
"telephone_number": "470-391-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALIENTE",
"first_name": "MARILYNN",
"middle_name": "V.",
"credential": "M.S., BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-02",
"last_updated": "2025-07-17",
"certification_date": "2025-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-19-37295",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-16-18732",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "GA",
"license": "1-19-37295",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "020813000",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003225511A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.