Provider Demographics
NPI:1023821394
Name:VALENCIAGA, MERY BELSIS
Entity type:Individual
Prefix:
First Name:MERY
Middle Name:BELSIS
Last Name:VALENCIAGA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12027 LOCH MUICK DR
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-4790
Mailing Address - Country:US
Mailing Address - Phone:786-564-4167
Mailing Address - Fax:
Practice Address - Street 1:8451 MANTA RAY CIR
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-3228
Practice Address - Country:US
Practice Address - Phone:786-234-9595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-29
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXRBT-23-291632106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician