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NPI Code Detail

MEDICARE: ANALISE IRENE VALENZUELA

MEDICARE:   ANALISE IRENE VALENZUELA
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 TechnicianTX

General Provider Information

NPI Number : 1467301929
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANALISE IRENE VALENZUELA
Provider Business Mailing Address
First Line : 348 ZARYA
Second Line :
City : KYLE
State : TX
Zip : 78640-2136
Country : US
Telephone Number : 512-820-3825
Fax Number :
Provider Business Practice Location Address
First Line : 322 W WILLIAM CANNON DR
Second Line :
City : AUSTIN
State : TX
Zip : 78745-5691
Country : US
Telephone Number : 512-820-3825
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2026
Last Update Date : 01/27/2026

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Directions to “ ANALISE IRENE VALENZUELA ” Practice Location

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