Healthcare Provider Details

I. General information

NPI: 1689592420
Provider Name (Legal Business Name): VALENCIA WINEFRED MOSS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5420 NW 33RD AVE STE 6
FORT LAUDERDALE FL
33309-6387
US

IV. Provider business mailing address

6023 GARFIELD ST APT B
HOLLYWOOD FL
33024-6054
US

V. Phone/Fax

Practice location:
  • Phone: 855-832-6727
  • Fax:
Mailing address:
  • Phone: 954-310-1591
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: