Provider Demographics
NPI:1003365644
Name:LORD ALANNIS, VANESSA (MA, BCBA)
Entity Type:Individual
Prefix:MS
First Name:VANESSA
Middle Name:
Last Name:LORD ALANNIS
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7727 PAINTER AVE
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90602-2475
Mailing Address - Country:US
Mailing Address - Phone:323-483-1411
Mailing Address - Fax:800-807-0310
Practice Address - Street 1:7630 PAINTER AVE STE B
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90602-2373
Practice Address - Country:US
Practice Address - Phone:800-807-0305
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-23
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11210089103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst