MEDICARE: SHEA DALISE VALDEZ

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

General Provider Information

NPI Number	:	1851235667
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHEA DALISE VALDEZ

Provider Business Mailing Address
First Line	:	16965 W VAN BUREN ST APT 2061
Second Line	:
City	:	GOODYEAR
State	:	AZ
Zip	:	85338-0098
Country	:	US
Telephone Number	:	480-271-8231
Fax Number	:

Provider Business Practice Location Address
First Line	:	2355 W LE MARCHE AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85023-4122
Country	:	US
Telephone Number	:	480-271-8231
Fax Number	:

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

Provider Enumeration Date	:	04/14/2026
Last Update Date	:	04/14/2026

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Directions to “ SHEA DALISE VALDEZ ” Practice Location

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