Provider Demographics
NPI:1548007826
Name:ECHEVARRIA DEL VALLE, MARYURI
Entity type:Individual
Prefix:
First Name:MARYURI
Middle Name:
Last Name:ECHEVARRIA DEL VALLE
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 1:2204 BANYAN LAKE CIR
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33415-2677
Mailing Address - Country:US
Mailing Address - Phone:561-720-9374
Mailing Address - Fax:
Practice Address - Street 1:4793 N CONGRESS AVE STE 203
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-7937
Practice Address - Country:US
Practice Address - Phone:561-722-9107
Practice Address - Fax:561-448-6063
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-12
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician