Provider Demographics
NPI:1962030650
Name:BAYLON, VALERIE RENEE
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:RENEE
Last Name:BAYLON
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 1:132 LOMAS AVE
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:NM
Mailing Address - Zip Code:88048-9527
Mailing Address - Country:US
Mailing Address - Phone:575-556-4857
Mailing Address - Fax:
Practice Address - Street 1:132 LOMAS AVE
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:NM
Practice Address - Zip Code:88048-9527
Practice Address - Country:US
Practice Address - Phone:575-556-4857
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-30
Last Update Date:2020-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst