Individual provider Active NPI

Arianna Resendiz Valdez

  • Behavior Technician
  • Sumterville, FL
National Provider Identifier
1831821917
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-22-206891 Issued in FL
Practice address
2210 CR 528
Sumterville, FL 33585-5214
Phone
(352) 314-3760
Fax
(352) 314-2909
NPI assigned
Jun 28, 2022
Last updated
Jun 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 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 RBT-22-206891 FL Primary

Addresses

Primary practice location

2210 CR 528
Sumterville, FL 33585-5214

Mailing address

2210 CR 528
Sumterville, FL 33585-5214
Phone (352) 314-3760

Other practice location 1

1650 W Main St
Leesburg, FL 34748-2841
Phone (352) 314-3460

Other identifiers 1

IdentifierTypeStateIssuer
113666300MedicaidFL

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

LicenseStateTypeSpecialty
RBT-22-206891FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1831821917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 CR 528",
            "city": "SUMTERVILLE",
            "state": "FL",
            "postal_code": "335855214",
            "telephone_number": "352-314-3760",
            "fax_number": "352-314-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 CR 528",
            "city": "SUMTERVILLE",
            "state": "FL",
            "postal_code": "335855214",
            "telephone_number": "352-314-3760",
            "fax_number": "352-314-2909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 W Main St",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "347482841",
            "country_code": "US",
            "telephone_number": "352-314-3460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RESENDIZ VALDEZ",
        "first_name": "ARIANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-22-206891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113666300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumterville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.