Individual provider Active NPI

Kittys Coromoto Arteta Valecillos

  • Behavior Analyst
  • Greenacres, FL
National Provider Identifier
1437836202
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
6249 Red Cedar Cir
Greenacres, FL 33463-8310
Phone
(786) 461-6493
NPI assigned
Jul 3, 2023
Last updated
Oct 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU
Behavior Analyst 103K00000X FL Primary

Addresses

Primary practice location

6249 Red Cedar Cir
Greenacres, FL 33463-8310

Mailing address

6249 Red Cedar Cir
Greenacres, FL 33463-8310
Phone (786) 461-6493

Other names 1

  • Kittys Coromoto Arteta Valecillos Other name

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

NPI Registry JSON

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1437836202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6249 RED CEDAR CIR",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334638310",
            "telephone_number": "786-461-6493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6249 RED CEDAR CIR",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334638310",
            "telephone_number": "786-461-6493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARTETA VALECILLOS",
        "first_name": "KITTYS",
        "middle_name": "COROMOTO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-03",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KITTYS",
            "last_name": "ARTETA VALECILLOS",
            "middle_name": "COROMOTO",
            "credential": "KITTYS ARTETA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greenacres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; 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.