Provider Demographics
NPI:1336993856
Name:ALVARADO VALADEZ, FABIOLA (BEHAVIOR TECHNICIAN)
Entity Type:Individual
Prefix:
First Name:FABIOLA
Middle Name:
Last Name:ALVARADO VALADEZ
Suffix:
Gender:F
Credentials:BEHAVIOR TECHNICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 E WHITTIER AVE APT 603
Mailing Address - Street 2:
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92543-5894
Mailing Address - Country:US
Mailing Address - Phone:323-667-4360
Mailing Address - Fax:
Practice Address - Street 1:1632 COBBLE LN
Practice Address - Street 2:
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92543-7811
Practice Address - Country:US
Practice Address - Phone:323-667-4360
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-12
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst