Ezequiel Valdes Sr.

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

4707 140TH Ave N Ste 309
Clearwater, FL 33762-3840

Phone

(813) 850-2197

NPI assigned

Jan 6, 2021

Last updated

Mar 23, 2022By the provider in NPPES

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

Electronic endpoints 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Amedicalz

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clearwater, FL
  • NPI 1215525191
  NPD Authorized official
• Freedom Kids Academy

  • Behavior Analyst
  • Boca Raton, FL
  • NPI 1790438968
  NPD Authorized official
• Freedom Kids Academy

  • Behavior Analyst
  • Seminole, FL
  • NPI 1942972088
  NPD Authorized official

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1710575790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4707 140TH AVE N STE 309",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337623840",
            "telephone_number": "813-850-2197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 140TH AVE N STE 309",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337623840",
            "telephone_number": "813-850-2197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDES",
        "first_name": "EZEQUIEL",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-06",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "amedicalz.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4707 140th Ave N Ste 309",
            "city": "Clearwater",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337623840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Morning Star Vaber
• Enrique Xavier Vaca, PA-C
• Kate M Vaccaro, PMHNP
• Marie Angela Vagedes, LCSW
• Idelys Valdes Crespo
• Marina Valdes, ARNP
• Jean Carlo Valdez
• Claudia Valdivia
• Elizabeth Vale
• Victor Valentin, MD

• Behavior Technician in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.