Healthcare Provider Details

I. General information

NPI: 1841126992
Provider Name (Legal Business Name): VALORA BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3080 TAMIAMI TRL E UNIT 330
NAPLES FL
34112-5772
US

IV. Provider business mailing address

3080 TAMIAMI TRL E UNIT 330
NAPLES FL
34112-5772
US

V. Phone/Fax

Practice location:
  • Phone: 239-391-6921
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DIANELYS JIMENEZ FERNANDEZ
Title or Position: OWNER
Credential:
Phone: 239-391-6921