Individual
JIMMY VALDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSR AIDE
Contact information
Practice address
2015 E 12TH ST, FARMINGTON, NM 87401-7460
(505) 326-2695
Mailing address
2015 E 12TH ST, FARMINGTON, NM 87401-7460
(505) 326-2695
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/20/2013
Last updated
11/20/2013
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