Provider Demographics
NPI:1023534674
Name:PARETA VALDES, TALENIS MARINA
Entity Type:Individual
Prefix:
First Name:TALENIS
Middle Name:MARINA
Last Name:PARETA VALDES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3590 4TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34117-3781
Mailing Address - Country:US
Mailing Address - Phone:305-812-2598
Mailing Address - Fax:
Practice Address - Street 1:3590 4TH AVE SE
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34117-3781
Practice Address - Country:US
Practice Address - Phone:305-812-2598
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-16
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician