Most Relevant Information
Provider Data
| NPI Number: | 1003468323 |
| Provider Name: | NINEL REY VALDIVIA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/16/2019 |
| Last Updated: | 11/07/2020 |
Provider Practice Location
3102 NE 3RD DR
HOMESTEAD
FL
330337197
Practice Location Phone/Fax
| Phone: | 7868058572 |
| Fax: |
Provider Mailing Location
3102 NE 3RD DR
HOMESTEAD
FL
330337197
Provider Mailing Phone/Fax
| Phone: | 7868058572 |
| Fax: |