Individual provider Active NPI

Reina Issel Valdez

  • Behavior Analyst
  • Greenacres, FL
National Provider Identifier
1477078657
Registry record updated Mar 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-19-40388 Issued in FL
Practice address
1503 15TH LN
Greenacres, FL 33463-4359
Phone
(561) 294-6247
NPI assigned
Aug 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 18-49145 FL
Behavior Analyst 103K00000X 1-19-40388 FL Primary

Addresses

Primary practice location

1503 15TH LN
Greenacres, FL 33463-4359

Mailing address

1503 15TH LN
Greenacres, FL 33463-4359
Phone (561) 294-6247

Other practice location 1

1503 15th Ln
Greenacres, FL 33463-4359
Phone (561) 294-6247

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
18-49145FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Stepping Stones Behavioral Services Inc. Behavior Analyst CurrentSince Sep 18, 2023 Accepting new patients
Monarch Behavior Analysis, LLC Behavior Analyst PastSince Dec 1, 2019 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679788800000",
    "number": "1477078657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 15TH LN",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334634359",
            "telephone_number": "561-294-6247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 15TH LN",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334634359",
            "telephone_number": "561-294-6247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1503 15th Ln",
            "address_purpose": "LOCATION",
            "city": "Greenacres",
            "state": "FL",
            "postal_code": "334634359",
            "country_code": "US",
            "telephone_number": "561-294-6247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALDEZ",
        "first_name": "REINA",
        "middle_name": "ISSEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-08",
        "last_updated": "2023-03-26",
        "certification_date": "2023-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "18-49145",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-19-40388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 26, 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.