Active NPI
Ximena Corona Bravo
- Behavior Technician
- Winston Salem, NC
National Provider Identifier
1700717758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 102 W 3Rd St
Winston Salem, NC 27101-3940 - Phone
- (305) 417-2657
- NPI assigned
- May 28, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 | NC | Primary |
Addresses
Primary practice location
102 W 3Rd St
Winston Salem, NC 27101-3940
Mailing address
8330 Red Bank Rd
Germanton, NC 27019-9574
Phone (336) 770-8837
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779926400000",
"number": "1700717758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8330 RED BANK RD",
"city": "GERMANTON",
"state": "NC",
"postal_code": "270199574",
"telephone_number": "336-770-8837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 W 3RD ST",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271013940",
"telephone_number": "305-417-2657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORONA BRAVO",
"first_name": "XIMENA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-05-28",
"last_updated": "2026-05-28",
"certification_date": "2026-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [],
"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 May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.