Provider Demographics
NPI:1508281486
Name:VALDES IBANEZ, FRANCIS DE LA
Entity Type:Individual
Prefix:
First Name:FRANCIS DE LA
Middle Name:
Last Name:VALDES IBANEZ
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 1:7565 SPLASHING ROCK DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89131-2626
Mailing Address - Country:US
Mailing Address - Phone:702-443-3105
Mailing Address - Fax:
Practice Address - Street 1:7565 SPLASHING ROCK DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89131-2626
Practice Address - Country:US
Practice Address - Phone:702-443-3105
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-28
Last Update Date:2014-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst