Individual provider Active NPI

Destinee Valery

  • Behavior Technician
  • Lutz, FL
National Provider Identifier
1770205346
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
18946 N Dale Mabry Hwy
Lutz, FL 33548-4900
Phone
(727) 241-0246
Fax
(727) 240-4720
NPI assigned
Sep 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

18946 N Dale Mabry Hwy
Lutz, FL 33548-4900

Mailing address

11614 Harmony Ranch LN
Thonotosassa, FL 33592-8374

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL abaoftampabay@gmail.com Applied Behavior Approaches of Tampa Bay Inc

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

OrganizationSpecialtyStatusNew patients
Applied Behavior Approaches of Tampa Bay Inc CurrentSince Sep 20, 2022 Accepting new patients

Locations

18946 N Dale Mabry Hwy
Lutz, FL 33548
Phone (727) 241-0246

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1770205346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11614 HARMONY RANCH LN",
            "city": "THONOTOSASSA",
            "state": "FL",
            "postal_code": "335928374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18946 N DALE MABRY HWY",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335484900",
            "telephone_number": "727-241-0246",
            "fax_number": "727-240-4720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALERY",
        "first_name": "DESTINEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "abaoftampabay@gmail.com",
            "affiliation": "Y",
            "affiliationName": "Applied Behavior Approaches of Tampa Bay Inc",
            "address_1": "18946 N Dale Mabry Hwy",
            "city": "Lutz",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335484900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.