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NPI Code Detail

MEDICARE: GRACIELA DEL VALLE

MEDICARE:   GRACIELA  DEL VALLE
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 Technician19102822FL

General Provider Information

NPI Number : 1316561699
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRACIELA DEL VALLE
Provider Business Mailing Address
First Line : 9725 SW 132ND CT
Second Line :
City : MIAMI
State : FL
Zip : 33186-2234
Country : US
Telephone Number : 305-699-9709
Fax Number :
Provider Business Practice Location Address
First Line : 9725 SW 132ND CT
Second Line :
City : MIAMI
State : FL
Zip : 33186-2234
Country : US
Telephone Number : 305-699-9709
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2020
Last Update Date : 06/03/2020

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Directions to “ GRACIELA DEL VALLE ” Practice Location

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