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NPI Code Detail

MEDICARE: VALENCIA VERTEE THOMAS BCBA

MEDICARE: VALENCIA VERTEE THOMAS BCBA
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-15-09980TX
2103K00000XBehavior Analyst3176TX

General Provider Information

NPI Number : 1891356432
Entity Type Code : Individual
Provider Name (Legal Business Name) : VALENCIA VERTEE THOMAS BCBA
Provider Business Mailing Address
First Line : 201 REGENCY PKWY
Second Line :
City : MANSFIELD
State : TX
Zip : 76063-5638
Country : US
Telephone Number : 682-400-0305
Fax Number :
Provider Business Practice Location Address
First Line : 201 REGENCY PKWY
Second Line :
City : MANSFIELD
State : TX
Zip : 76063-5638
Country : US
Telephone Number : 682-400-0305
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2019
Last Update Date : 01/08/2020

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Directions to “ VALENCIA VERTEE THOMAS BCBA” Practice Location

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