Tia Star Valentine

NPI #1467047365 in N Las Vegas, Nevada

Provider Information

NPI Number: 1467047365
Entity Type: Individual
Name: Tia Star Valentine
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 3, 2021
Last Updated: Mar 3, 2021

Practice Location

Address: 4014 CLOVE TREE CT
City: N Las Vegas
State: Nevada
ZIP Code: 89031-0175
Phone: (702) 762-6621

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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