Provider Demographics
NPI:1194537258
Name:VALENZUELA, BARBARA DELORAS (BHT II)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:DELORAS
Last Name:VALENZUELA
Suffix:
Gender:F
Credentials:BHT II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5601 W MCDOWELL RD APT 2010
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85035-4964
Mailing Address - Country:US
Mailing Address - Phone:602-334-3985
Mailing Address - Fax:
Practice Address - Street 1:RI INTERNATIONAL
Practice Address - Street 2:11361 N 99TH AVE #402
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85345
Practice Address - Country:US
Practice Address - Phone:602-650-1212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-24
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty