Active NPI
Keyshli Vazquez Valentin, B.A., RBT
- Behavior Technician
- West Springfield, MA
National Provider Identifier
1912631904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-22-223873
- Practice address
- 900 Riverdale St Unit 286
West Springfield, MA 01089-4900 - Phone
- (855) 832-6727
- NPI assigned
- Jul 14, 2022
- Last updated
- Nov 3, 2023
- 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 Technician | 106S00000X | RBT-22-223873 | MA | Primary |
Addresses
Primary practice location
900 Riverdale St Unit 286
West Springfield, MA 01089-4900
Mailing address
49 Lincoln St Apt 3
Webster, MA 01570-1857
Phone (774) 262-5233
Other names 1
- Mrs. Keyshli Vazquez Valentin
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
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-22-223873 | MA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ABA Centers of America LLC | Behavior Analyst | Past | Accepting new patients |
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.
-
- Behavior Analyst
- Nashua, NH
- NPI 1972187250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1912631904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 LINCOLN ST APT 3",
"city": "WEBSTER",
"state": "MA",
"postal_code": "015701857",
"telephone_number": "774-262-5233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 RIVERDALE ST UNIT 286",
"city": "WEST SPRINGFIELD",
"state": "MA",
"postal_code": "010894900",
"telephone_number": "855-832-6727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAZQUEZ VALENTIN",
"first_name": "KEYSHLI",
"name_prefix": "Mrs.",
"credential": "B.A., RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-14",
"last_updated": "2023-11-03",
"certification_date": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "MA",
"license": "RBT-22-223873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KEYSHLI",
"last_name": "VAZQUEZ VALENTIN",
"prefix": "MRS.",
"credential": "B.A., RBT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in West Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.