Active NPI
Kathryn Marie Valdez
- Behavior Analyst
- Del Rio, TX
National Provider Identifier
1790367522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 8565
- Practice address
- 112 Running Bear TRL
Del Rio, TX 78840-2066 - Phone
- (830) 719-9449
- NPI assigned
- Apr 21, 2021
- Last updated
- Sep 2, 2025
- Sex
- Female
- Sole proprietor
- No
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 Analyst | 103K00000X | 8565 | TX | Primary |
Addresses
Primary practice location
112 Running Bear TRL
Del Rio, TX 78840-2066
Mailing address
991 Oak Creek Dr
Lombard, IL 60148-6408
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 |
|---|---|---|---|
| 8565 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Funtastic Gymnastic LLC | Behavior Analyst | Current | Accepting new patients |
Locations
991 Oak Creek Dr
Lombard, IL 60148
Phone (312) 882-5237
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756771200000",
"number": "1790367522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "991 OAK CREEK DR",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601486408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 RUNNING BEAR TRL",
"city": "DEL RIO",
"state": "TX",
"postal_code": "788402066",
"telephone_number": "830-719-9449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALDEZ",
"first_name": "KATHRYN",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-21",
"last_updated": "2025-09-02",
"certification_date": "2025-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "8565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Del Rio, TX
- Val Verde Hospital Corporation (Hospice of Val Verde Regional Medical Center)
- Val Verde Regional Medical Center, Inc. (Hospice of Val Verde Regional Medical Center)
- Val Verde Regional Medical Center, Inc. (Val Verde Regional Medical Center)
- Val Verde Renal Care Center, Inc.
- Dixie Valdez, M.S.L.P.C.
- Sasha Nicole Valdez, NP-C
- Toung Ba Van, MD FACC
- Valerie Cadena Vargas, D.D.S.
- Virginia Vargas, LMT
- Octaviana Vela
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.