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NPI Code Detail

MEDICARE: LUCERO ELIZABETH VALENZUELA

MEDICARE: LUCERO ELIZABETH 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 Technician
2103K00000XBehavior Analyst1-22-59388NM

General Provider Information

NPI Number : 1588142368
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUCERO ELIZABETH VALENZUELA
Provider Business Mailing Address
First Line : 455 E 6TH ST
Second Line :
City : MESA
State : AZ
Zip : 85203-7118
Country : US
Telephone Number : 855-772-8847
Fax Number :
Provider Business Practice Location Address
First Line : 455 E 6TH ST
Second Line :
City : MESA
State : AZ
Zip : 85203-7118
Country : US
Telephone Number : 480-612-4912
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2018
Last Update Date : 10/21/2024

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Directions to “ LUCERO ELIZABETH VALENZUELA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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