Individual
IRENE B VALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8359 BEACON BLVD STE 416, FORT MYERS, FL 33907-3065
(800) 920-1927
Mailing address
6814 SANTA FE S APT 112, LABELLE, FL 33935-5524
(786) 991-7845
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-25-16169
FL
106S00000X
Behavior Technician
RBT-21-162313
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/08/2021
Last updated
06/17/2025
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