NPI 1003517905
Domenik Valdivia
Practice location
- Address
- 1801 S Jentilly Ln STE C20, Tempe, AZ 85281-5732
- Phone
- (855) 223-7123
- Fax
- (619) 374-7134
- Mailing address
- 16782 von Karman Ave STE 11, Irvine, CA 92606-2417
Registered specialties
Behavior Technician
Primary
Registry record
- NPI
- 1003517905
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 16 Mar 2023
- Record last updated
- 16 Mar 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.