Individual
IVELISSE M VALENTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA
Contact information
Practice address
200 DOCTORS DR STE J, JACKSONVILLE, NC 28546-6308
(910) 294-6481
Mailing address
200 DOCTORS DR STE J, JACKSONVILLE, NC 28546-6308
(910) 333-0814
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3229
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110026265E
—
MA
Enumeration date
01/08/2019
Last updated
08/20/2025
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