Healthcare Provider Details

I. General information

NPI: 1285591966
Provider Name (Legal Business Name): AMILIA LAGUNAS VALENZUELA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2026
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3719 N CAMPBELL AVE
TUCSON AZ
85719-1541
US

IV. Provider business mailing address

2927 E 4TH ST
TUCSON AZ
85716-4423
US

V. Phone/Fax

Practice location:
  • Phone: 520-477-8536
  • Fax:
Mailing address:
  • Phone: 928-304-4278
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: