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NPI Code Detail

MEDICARE: DONACIANO VALENCIA

MEDICARE: DONACIANO VALENCIA
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 : 1972316776
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONACIANO VALENCIA
Provider Business Mailing Address
First Line : 1408 8TH ST
Second Line :
City : ALAMOGORDO
State : NM
Zip : 88310-5115
Country : US
Telephone Number : 866-273-2451
Fax Number : 866-608-5560
Provider Business Practice Location Address
First Line : 1012 MARQUEZ PL UNIT 106B
Second Line :
City : SANTA FE
State : NM
Zip : 87505-1833
Country : US
Telephone Number : 866-273-2451
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2025
Last Update Date : 03/17/2026

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Directions to “ DONACIANO VALENCIA ” Practice Location

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