Provider Demographics
NPI:1043506363
Name:ALDABA-VALERA, IVET (SWK)
Entity Type:Individual
Prefix:
First Name:IVET
Middle Name:
Last Name:ALDABA-VALERA
Suffix:
Gender:F
Credentials:SWK
Other - Prefix:
Other - First Name:IVET
Other - Middle Name:
Other - Last Name:SANTIAGO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SWK
Mailing Address - Street 1:1515 E TROPICANA AVE STE 580
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-6517
Mailing Address - Country:US
Mailing Address - Phone:702-898-5311
Mailing Address - Fax:
Practice Address - Street 1:1515 E TROPICANA AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-6517
Practice Address - Country:US
Practice Address - Phone:702-898-5311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-24
Last Update Date:2020-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225400000X
NV8122-S104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner