MEDICARE: ASHLEY MARIE VALDEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	6457	TX
2	106S00000X	Behavior Technician
3	106E00000X	Assistant Behavior Analyst	0-18-8467	TX

General Provider Information

NPI Number	:	1518471598
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY MARIE VALDEZ

Provider Business Mailing Address
First Line	:	1351 N ZARAGOZA RD BLDG H
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79936-7902
Country	:	US
Telephone Number	:	915-257-5782
Fax Number	:

Provider Business Practice Location Address
First Line	:	1351 N ZARAGOZA RD BLDG H
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79936-7902
Country	:	US
Telephone Number	:	915-257-5782
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/29/2017
Last Update Date	:	12/07/2023

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Directions to “ ASHLEY MARIE VALDEZ ” Practice Location

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