Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103K00000X | Behavior Analyst |
NPI | 1013237890 |
---|---|
Provider Name | Ms. Debra Valdez |
First Address | Santa Fe, NM 87508 |
Second Address | Santa Fe, NM 87505-6351 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2010 |
Last Update Date | 31/05/2012 |