Individual provider Active NPI

Keyshli Vazquez Valentin, B.A., RBT

  • Behavior Technician
  • West Springfield, MA
National Provider Identifier
1912631904
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-22-223873 Issued in MA
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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-22-223873 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 Former name

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

LicenseStateTypeSpecialty
RBT-22-223873MAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
ABA Centers of America LLC Behavior Analyst PastSince Jul 1, 2022 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.

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.

Verify at the official NPI Registry.