Provider Demographics
NPI:1578910212
Name:VALDES, ZURELYS
Entity Type:Individual
Prefix:
First Name:ZURELYS
Middle Name:
Last Name: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 1:5199 NW 7TH ST APT 607E
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-3338
Mailing Address - Country:US
Mailing Address - Phone:786-202-8136
Mailing Address - Fax:
Practice Address - Street 1:5199 NW 7TH ST APT 607E
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-3338
Practice Address - Country:US
Practice Address - Phone:786-202-8136
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-23
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLV432-980-79-886-0103K00000X
FL0-21-13317106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst