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General NPI Number Information
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NPI Number | 1710458120
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Entity Type | Individual
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Provider Name | VALENCIA ASHLEY BCBA, LBA
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Gender | Female
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Dates
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Enumeration Date | 12/10/2018
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 2102 ROOSEVELT DR STE E
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City | DWG
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State | TX
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Zip | 76013-5932
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Country | US
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Telephone | 972-666-4600
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Fax | 972-664-4460
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Provider Business Mailing Address
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Address Line | 2646 WINSLOW DR
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City | GRAND PRAIRIE
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State | TX
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Zip | 75052-3811
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Country | US
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Telephone | 214-683-4406
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Fax | 972-664-4460
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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 | 7932
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License Number State | TX
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