Provider Demographics
NPI:1194154385
Name:NAVARRO, CHAVELYS VALLE (MA BCBA)
Entity type:Individual
Prefix:
First Name:CHAVELYS
Middle Name:VALLE
Last Name:NAVARRO
Suffix:
Gender:F
Credentials:MA BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12150 SW 128TH CT STE 201
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-4667
Mailing Address - Country:US
Mailing Address - Phone:786-697-1966
Mailing Address - Fax:
Practice Address - Street 1:12150 SW 128TH CT STE 201
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-4667
Practice Address - Country:US
Practice Address - Phone:786-697-1966
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-07
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-16-24107103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst