Provider Demographics
NPI:1154810653
Name:VALANZUELA, ANALISA
Entity type:Individual
Prefix:
First Name:ANALISA
Middle Name:
Last Name:VALANZUELA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ANALISA
Other - Middle Name:
Other - Last Name:SALMIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:7113 CREST HILL DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89506-5633
Mailing Address - Country:US
Mailing Address - Phone:775-322-2472
Mailing Address - Fax:
Practice Address - Street 1:7113 CREST HILL DR
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89506-5633
Practice Address - Country:US
Practice Address - Phone:775-322-2472
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-09
Last Update Date:2018-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst