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NPI Code Detail

MEDICARE: MARIAH VALANDINGHAM

MEDICARE: MARIAH VALANDINGHAM
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

General Provider Information

NPI Number : 1912846502
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIAH VALANDINGHAM
Provider Business Mailing Address
First Line : 1027 N 62ND AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85043-1525
Country : US
Telephone Number : 480-910-2201
Fax Number :
Provider Business Practice Location Address
First Line : 1027 N 62ND AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85043-1525
Country : US
Telephone Number : 480-910-2201
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2026
Last Update Date : 03/27/2026

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Directions to “ MARIAH VALANDINGHAM ” Practice Location

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