Individual
JONATHAN GABRIEL VALENCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1350 CENTRAL AVE STE 300, LOS ALAMOS, NM 87544-6218
(505) 395-3611
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/27/2019
Last updated
02/27/2019
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