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General NPI Number Information
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NPI Number | 1457935751
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Entity Type | Individual
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Provider Name | SANDY ENRIQUE VALDES
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Gender | Male
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Dates
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Enumeration Date | 05/12/2021
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 2255 GLADES RD STE 324A
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City | BOCA RATON
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State | FL
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Zip | 33431-8571
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Country | US
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Telephone | 305-776-0296
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Fax | 561-975-2990
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Provider Business Mailing Address
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Address Line | 11835 SW 190TH TER
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City | MIAMI
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State | FL
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Zip | 33177-3946
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Country | US
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Telephone | 305-562-7562
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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 | 1-25-85143
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License Number State | FL
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