Individual
LUCERO ELIZABETH VALENZUELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1627 E WALTER DR, CASA GRANDE, AZ 85122-5915
(480) 612-4912
Mailing address
455 E 6TH ST, MESA, AZ 85203-7118
(855) 772-8847
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-59388
NM
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/02/2018
Last updated
04/16/2026
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