Healthcare Provider Details

I. General information

NPI: 1861057283
Provider Name (Legal Business Name): ABRAHAM VALENCIA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2019
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1402 S SAGINAW ST
FLINT MI
48503-3705
US

IV. Provider business mailing address

1402 S SAGINAW ST
FLINT MI
48503-3705
US

V. Phone/Fax

Practice location:
  • Phone: 810-424-6069
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: