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NPI Code Detail

MEDICARE: BRENDA DEL VALLE

MEDICARE: BRENDA DEL VALLE
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 : 1992381917
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRENDA DEL VALLE
Provider Business Mailing Address
First Line : 1740 W CARSON ST
Second Line :
City : TORRANCE
State : CA
Zip : 90501-2821
Country : US
Telephone Number : 310-328-6974
Fax Number :
Provider Business Practice Location Address
First Line : 1740 W CARSON ST
Second Line :
City : TORRANCE
State : CA
Zip : 90501-2821
Country : US
Telephone Number : 310-328-6974
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2021
Last Update Date : 03/21/2021

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Directions to “ BRENDA DEL VALLE ” Practice Location

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