Individual
ALYSSA KITANA VALDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
224 THORNCREST DR, PAULINE, SC 29374-1626
(864) 590-0458
Mailing address
224 THORNCREST DR, PAULINE, SC 29374-1626
(864) 590-0458
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-25-16185
SC
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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