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NPI Code Detail

MEDICARE: MAYA C VALDES GUADA

MEDICARE: MAYA C VALDES GUADA
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
1106S00000XBehavior TechnicianRBT-24-377678AZ

General Provider Information

NPI Number : 1114879731
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAYA C VALDES GUADA
Provider Business Mailing Address
First Line : PO BOX 740780
Second Line :
City : ATLANTA
State : GA
Zip : 30374-0780
Country : US
Telephone Number : 855-223-7123
Fax Number : 619-374-7134
Provider Business Practice Location Address
First Line : 4838 E BASELINE RD STE 118
Second Line :
City : MESA
State : AZ
Zip : 85206-4674
Country : US
Telephone Number : 855-223-7123
Fax Number : 619-374-7134
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2026
Last Update Date : 02/14/2026

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Directions to “ MAYA C VALDES GUADA ” Practice Location

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