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: |