Active NPI
Maevis Valentine
- Behavior Technician
- Dublin, CA
National Provider Identifier
1730765256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-20-146097
- Practice address
- 6690 Amador Plaza Rd Ste 110
Dublin, CA 94568-2949 - Phone
- (925) 548-3102
- NPI assigned
- Mar 23, 2021
- 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 | RBT-20-146097 | SC | Primary |
Addresses
Primary practice location
6690 Amador Plaza Rd Ste 110
Dublin, CA 94568-2949
Mailing address
6690 Amador Plaza Rd Ste 110
Dublin, CA 94568-2949
Other names 1
- Marissa Levasseur
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-20-146097 | SC | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629072000000",
"number": "1730765256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6690 AMADOR PLAZA RD STE 110",
"city": "DUBLIN",
"state": "CA",
"postal_code": "945682949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6690 AMADOR PLAZA RD STE 110",
"city": "DUBLIN",
"state": "CA",
"postal_code": "945682949",
"telephone_number": "925-548-3102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENTINE",
"first_name": "MAEVIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-23",
"last_updated": "2021-08-16",
"certification_date": "2021-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "SC",
"license": "RBT-20-146097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARISSA",
"last_name": "LEVASSEUR",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Dublin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.