Individual
KATHRYN MARIA-JEAN VALDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1505 W SAINT MARYS RD # 209, TUCSON, AZ 85745-3107
(844) 333-6642
(520) 333-3060
Mailing address
1505 W SAINT MARYS RD # 209, TUCSON, AZ 85745-3107
(844) 333-6642
(520) 333-3060
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
19-94734
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47-2615557
—
AZ
Enumeration date
08/30/2021
Last updated
08/30/2021
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