Healthcare Provider Details

I. General information

NPI: 1962848309
Provider Name (Legal Business Name): VALLEY NEUROBEHAVIORAL INSTITUTE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2013
Last Update Date: 09/24/2020
Certification Date: 09/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9831 E BELL RD
SCOTTSDALE AZ
85260-2350
US

IV. Provider business mailing address

9831 E BELL RD
SCOTTSDALE AZ
85260-2350
US

V. Phone/Fax

Practice location:
  • Phone: 480-474-4122
  • Fax: 480-800-6578
Mailing address:
  • Phone: 480-474-4122
  • Fax: 480-800-6578

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PAUL R. VALBUENA
Title or Position: MEMBER
Credential: MD
Phone: 480-474-4122