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General NPI Number Information
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NPI Number | 1265806087
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Entity Type | Individual
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Provider Name | TANYA RAYLI VALENTINO BCBA
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Gender | Female
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Dates
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Enumeration Date | 11/17/2015
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 4600 25TH AVE NE STE 100
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City | SALEM
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State | OR
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Zip | 97301-0338
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Country | US
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Telephone | 877-299-1655
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Fax |
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Provider Business Mailing Address
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Address Line | 4600 25TH AVE NE STE 100
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City | SALEM
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State | OR
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Zip | 97301-0338
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Country | US
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Telephone | 877-299-1655
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 15BC00053100
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-16-23455
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 003958
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License Number State | NY
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