Most Relevant Information
Provider Data
| NPI Number: | 1003458894 |
| Provider Name: | ENA VALJEVAC |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/13/2019 |
| Last Updated: | 10/07/2021 |
Provider Practice Location
1601 E 4TH PLAIN BLVD BLDG 17
VANCOUVER
WA
986613717
Practice Location Phone/Fax
| Phone: | 3603978246 |
| Fax: |
Provider Mailing Location
1601 E 4TH PLAIN BLVD
VANCOUVER
WA
986613713
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |