Elvis Avila Valdes

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-24-393138 Issued in FL

Practice address

607 Broadway Ave
Lehigh Acres, FL 33972-4130

Phone

(239) 391-6304

NPI assigned

Nov 18, 2024

Last updated

Nov 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1487479101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 BROADWAY AVE",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339724130",
            "telephone_number": "239-391-6304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 BROADWAY AVE",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339724130",
            "telephone_number": "239-391-6304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILA VALDES",
        "first_name": "ELVIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-24-393138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avid Behavior Care
• Rachel Avila Heredia
• Odeinys Avila Hernandez, RBT-24-338820
• Liliet Avila Lopez
• Daniela Avila Valdes
• Cade Mason Awbrey I, D.M.D
• Neisys Ayala Bejerano
• Dianne Ayala Perez
• Amanda Ayala Santana
• Maricely Ayala, LMT

• Behavior Technician in Lehigh Acres, FL
• Providers in Lehigh Acres, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.