Provider Demographics
NPI:1598046302
Name:VELEZ ACEVEDO, BRAULIO M (PHD, MSW CCRET, CHT)
Entity type:Individual
Prefix:DR
First Name:BRAULIO
Middle Name:M
Last Name:VELEZ ACEVEDO
Suffix:
Gender:
Credentials:PHD, MSW CCRET, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3684 EMMA AVE
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27127-6024
Mailing Address - Country:US
Mailing Address - Phone:704-579-9565
Mailing Address - Fax:
Practice Address - Street 1:3684 EMMA AVE
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27127
Practice Address - Country:US
Practice Address - Phone:704-579-9565
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-07
Last Update Date:2025-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No171400000XOther Service ProvidersHealth & Wellness Coach
No175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0712102328OtherIACT