Individual
ANGELICA VALDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8359 BEACON BLVD STE 416, FORT MYERS, FL 33907-3065
(786) 224-4525
Mailing address
8359 BEACON BLVD STE 416, FORT MYERS, FL 33907-3065
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-23-14940
FL
106S00000X
Behavior Technician
21-169399
FL
Other
Enumeration date
09/22/2021
Last updated
12/29/2023
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