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Individual
FERNANDO JOSE VALDEZ VALENZUELA
Active
Individual
FERNANDO JOSE VALDEZ VALENZUELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BEHAVIOR THERAPIST
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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