Individual provider Active NPI

Valerie Diane Segura, BCBA

  • Behavior Analyst
  • Manteca, CA
National Provider Identifier
1932488038
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
11417878 Issued in CA
Practice address
1882 Cherrywood PL
Manteca, CA 95336
Phone
(209) 227-0212
NPI assigned
Aug 8, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 11417878 FL
Behavior Analyst 103K00000X 11417878 CA Primary

Addresses

Primary practice location

1882 Cherrywood PL
Manteca, CA 95336

Mailing address

1882 Cherrywood PL
Manteca, CA 95336-2614
Phone (209) 227-0212

Other practice location 1

1072 Dancy St
Jacksonville, FL 32205-5289
Phone (818) 640-2168

Other practice location 2

1072 Dancy St
Jacksonville, FL 32205-5289
Phone (818) 640-2168

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
11417878CAMDBehavioral Analyst
11417878FLMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1312761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1932488038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1882 CHERRYWOOD PL",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953362614",
            "telephone_number": "209-227-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1882 CHERRYWOOD PL",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "95336",
            "telephone_number": "209-227-0212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1072 Dancy St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322055289",
            "country_code": "US",
            "telephone_number": "818-640-2168",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1072 Dancy St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322055289",
            "country_code": "US",
            "telephone_number": "818-640-2168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEGURA",
        "first_name": "VALERIE",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-08",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "11417878",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "11417878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manteca, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; 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.