Teralynn Vallery, BCBA
Individual provider Active NPI Behavior Analyst · Dolores, CO
NPI 1821531377 · NPPES record last updated Jan 12, 2021
Key facts
- NPI
- 1821531377
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-20-46155 (CO)
- Practice address
- 11813 Road 27.1
Dolores, CO 81323-9247 - Phone
- (970) 779-0699
- NPI assigned
- Nov 30, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hummingbird Behavioral Health LLC | Behavior Analyst | Current |
Accepting new patients |
| Hummingbird Behavioral Health LLC | Behavior Analyst | Current |
Accepting new patients |
| Positive Behavioral Services of the Four Corners LLC | Past | Accepting new patients | |
| Positive Behavioral Services of the Four Corners LLC | Past |
Accepting new patients | |
| Commonwealth Autism Care | Behavior Analyst | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst |
103K00000X | 1-20-46155 | CO | Yes |
Addresses
Primary practice location
11813 Road 27.1
Dolores, CO 81323-9247
Mailing address
11813 Road 27.1
Dolores, CO 81323-9247
Phone (970) 779-0699
Other providers in Dolores, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.