Healthcare Provider Details

I. General information

NPI: 1770498842
Provider Name (Legal Business Name): VALERIE DALE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4182 OLD CLYDE RD
CLYDE NC
28721-7665
US

IV. Provider business mailing address

4412 VERDE VISTA CIR
ASHEVILLE NC
28805-4527
US

V. Phone/Fax

Practice location:
  • Phone: 828-627-2206
  • Fax:
Mailing address:
  • Phone: 941-822-2627
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberBACB2701871
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: