Provider Demographics
NPI:1255896486
Name:VALERIANI, VANESSA NICHOLE
Entity type:Individual
Prefix:MS
First Name:VANESSA
Middle Name:NICHOLE
Last Name:VALERIANI
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 1:32 LOIS LN
Mailing Address - Street 2:
Mailing Address - City:BILLERICA
Mailing Address - State:MA
Mailing Address - Zip Code:01821-3167
Mailing Address - Country:US
Mailing Address - Phone:978-808-7402
Mailing Address - Fax:
Practice Address - Street 1:32 LOIS LN
Practice Address - Street 2:
Practice Address - City:BILLERICA
Practice Address - State:MA
Practice Address - Zip Code:01821-3167
Practice Address - Country:US
Practice Address - Phone:978-808-7402
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-01
Last Update Date:2019-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician