Active NPI
Elicia Valadez
- Behavior Technician
- Temecula, CA
National Provider Identifier
1700421146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 27349 Jefferson Ave Ste 204
Temecula, CA 92590-5612 - Phone
- (951) 466-3032
- NPI assigned
- Nov 8, 2019
- Reactivated
- Apr 6, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
27349 Jefferson Ave Ste 204
Temecula, CA 92590-5612
Mailing address
27349 Jefferson Ave Ste 204
Temecula, CA 92590-5612
Other practice location 1
751 Camino Plz
Suite A
San Bruno, CA 94066-3401
Phone (303) 989-8169
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nufoundation Youth Development Mentors and Life Coach Services | Current | Accepting new patients | |
| Behavior Frontiers, LLC | Past | Accepting new patients |
Locations
27349 Jefferson Ave
Ste 204
Temecula, CA 92590
Phone (951) 466-3032
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.
-
- Behavior Analyst
- Litchfield Park, AZ
- NPI 1073167755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680739200000",
"number": "1700421146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27349 JEFFERSON AVE STE 204",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925905612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27349 JEFFERSON AVE STE 204",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925905612",
"telephone_number": "951-466-3032"
}
],
"practiceLocations": [
{
"address_1": "751 Camino Plz",
"address_2": "Suite A",
"address_purpose": "LOCATION",
"city": "San Bruno",
"state": "CA",
"postal_code": "940663401",
"country_code": "US",
"telephone_number": "303-989-8169",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VALADEZ",
"first_name": "ELICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-08",
"last_updated": "2023-04-06",
"certification_date": "2023-04-06",
"deactivation_date": "2023-03-23",
"reactivation_date": "2023-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.