Most Relevant Information
Provider Data
| NPI Number: | 1003379546 |
| Provider Name: | SANDRA DANIELA VALENZUELA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-19-101954 |
Most Important Dates
| Enumeration Date: | 04/11/2019 |
| Last Updated: | 10/14/2019 |
Provider Practice Location
2820 W CHARLESTON BLVD STE 22
LAS VEGAS
NV
891021933
Practice Location Phone/Fax
| Phone: | 7029007698 |
| Fax: | 7028250791 |
Provider Mailing Location
2820 W CHARLESTON BLVD STE 22
LAS VEGAS
NV
891021933
Provider Mailing Phone/Fax
| Phone: | 7029007698 |
| Fax: | 7028250791 |