MEDICARE: ALANIS NICHOLE VALENTIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	RBT-24-365123	TX

General Provider Information

NPI Number	:	1093530602
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALANIS NICHOLE VALENTIN

Provider Business Mailing Address
First Line	:	16406 VILLA DEL NORTE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77073-5305
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2525 LOUETTA RD
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77388-4785
Country	:	US
Telephone Number	:	832-600-5517
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/19/2024
Last Update Date	:	11/19/2024

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Directions to “ ALANIS NICHOLE VALENTIN ” Practice Location

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