Individual provider Active NPI

Braulio M Velez Acevedo, PHD, MSW CCRET, CHT

  • Behavior Analyst
  • Winston Salem, NC
National Provider Identifier
1598046302
Registry record updated Apr 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
3684 Emma Ave
Winston Salem, NC 27127
Phone
(704) 579-9565
NPI assigned
Sep 7, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X
Naturopath 175F00000X
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

3684 Emma Ave
Winston Salem, NC 27127

Mailing address

3684 Emma Ave
Winston Salem, NC 27127-6024
Phone (704) 579-9565

Other identifiers 1

IdentifierTypeStateIssuer
0712102328OtherPRIACT

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
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743897600000",
    "number": "1598046302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3684 EMMA AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271276024",
            "telephone_number": "704-579-9565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3684 EMMA AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "27127",
            "telephone_number": "704-579-9565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ ACEVEDO",
        "first_name": "BRAULIO",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD, MSW CCRET, CHT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-07",
        "last_updated": "2025-04-06",
        "certification_date": "2025-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IACT",
            "identifier": "0712102328",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.

Verify at the official NPI Registry.