Healthcare Provider Details

I. General information

NPI: 1225737760
Provider Name (Legal Business Name): VALERIE PADILLA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2023
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

256 E HAMILTON AVE STE C
CAMPBELL CA
95008-0237
US

IV. Provider business mailing address

256 E HAMILTON AVE STE C
CAMPBELL CA
95008-0237
US

V. Phone/Fax

Practice location:
  • Phone: 844-322-7483
  • Fax: 888-334-7021
Mailing address:
  • Phone: 844-322-7483
  • Fax: 888-334-7021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: