Most Relevant Information
Provider Data
| NPI Number: | 1003529827 |
| Provider Name: | LIS VALERA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-22-246993 |
Most Important Dates
| Enumeration Date: | 12/27/2022 |
| Last Updated: | 12/27/2022 |
Provider Practice Location
1490 S MILITARY TRL STE 7
WEST PALM BEACH
FL
334159141
Practice Location Phone/Fax
| Phone: | 5613232552 |
| Fax: |
Provider Mailing Location
3691 RIEDEL AVE
PALM SPRINGS
FL
334613637
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |