Provider Demographics
NPI:1851199574
Name:VALDEZ, MARIBEL (MS)
Entity type:Individual
Prefix:
First Name:MARIBEL
Middle Name:
Last Name:VALDEZ
Suffix:
Gender:
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23005 ILLAHEE CT
Mailing Address - Street 2:
Mailing Address - City:ALPINE
Mailing Address - State:CA
Mailing Address - Zip Code:91901
Mailing Address - Country:US
Mailing Address - Phone:619-646-9100
Mailing Address - Fax:
Practice Address - Street 1:23005 ILLAHEE CT
Practice Address - Street 2:
Practice Address - City:ALPINE
Practice Address - State:CA
Practice Address - Zip Code:91901
Practice Address - Country:US
Practice Address - Phone:619-646-9100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst