Breanna Valdespino

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

3101 W Charleston Blvd
Las Vegas, NV 89102-1931

Phone

(702) 831-6670

NPI assigned

Feb 17, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Joyful Journeys LLC

  • Behavior Analyst
  • N Las Vegas, NV
  • NPI 1912749508
  NPD Authorized official

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

{
    "created_epoch": "1676592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1780382929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 KINGS CENTER AVE",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890321159",
            "telephone_number": "702-300-9362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021931",
            "telephone_number": "702-831-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDESPINO",
        "first_name": "BREANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-17",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RBT2196",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosa Valdes
• Vo Thi Thang Valdes
• Yzabella Nicol Valdes
• Zidrieck Parducho Valdes, M.D.
• Adriana Valdespino Gonzalez
• Yazmin Valdez Martinez
• Sofia Valdez Ramirez
• Guillermo Valdez-Bravo
• Rafael Valdez-Medina
• Adam Valdez

• Behavior Analyst in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Behavior Analyst in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.

Verify at the official NPI Registry.