Humberto Jesus Valladares Fragoso

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-53555 Issued in FL

Practice address

6425 Red Pine LN Apt D
Greenacres, FL 33415-6179

Phone

(305) 301-6937

NPI assigned

Sep 14, 2016

Sex

Male

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

Practice roles

Locations

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.

• ABA Therapy Services Inc

  • Behavior Analyst
  • Greenacres, FL
  • NPI 1407514805
  NPD Authorized official
• D&H USA, Inc.

  • Behavior Technician
  • Miami, FL
  • NPI 1588436968
  NPD (past)

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1508314956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6425 RED PINE LN APT D",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334156179",
            "telephone_number": "305-301-6937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6425 RED PINE LN APT D",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334156179",
            "telephone_number": "305-301-6937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLADARES FRAGOSO",
        "first_name": "HUMBERTO",
        "middle_name": "JESUS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-14",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-21-53555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia Valdes Perez
• Vania Valdes
• Reina Issel Valdez
• Yudisleivy Valdivia Jimenez
• Roxanna Valiente
• Melina Valverde Trevin, RBT
• Luz Stella Vasquez
• Daimarelis Verdecia Valdivia
• Ericson Vibert, DC
• Robert Gary Victome, DDS

• Behavior Analyst in Greenacres, FL
• Providers in Greenacres, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; 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.