Healthcare Provider Details

I. General information

NPI: 1932033933
Provider Name (Legal Business Name): MAYRA VALENCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5330 GRASS VALLEY RD UNIT B
WINNEMUCCA NV
89445-9339
US

IV. Provider business mailing address

106 W FRONT ST
ELKO NV
89801-7608
US

V. Phone/Fax

Practice location:
  • Phone: 775-777-1292
  • Fax: 775-777-1293
Mailing address:
  • Phone: 775-777-1292
  • Fax: 775-777-1293

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: