Most Relevant Information
Provider Data
NPI Number: | 1003585522 |
Provider Name: | AMERICA VALLES |
Entity Type: | Individual |
Taxonomy Code: | 106S00000X |
Specialty: | Behavior Technician |
License Number: |
Most Important Dates
Enumeration Date: | 09/08/2021 |
Last Updated: | 09/08/2021 |
Provider Practice Location
6211 SOUTHWEST BLVD
BENBROOK
TX
761321080
Practice Location Phone/Fax
Phone: | 8175831809 |
Fax: |
Provider Mailing Location
6211 SOUTHWEST BLVD
BENBROOK
TX
761321080
Provider Mailing Phone/Fax
Phone: | |
Fax: |