Provider Demographics
NPI:1033779665
Name:BEAMAN, VALERIE (BCBA)
Entity Type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:
Last Name:BEAMAN
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:166 GORDON DR
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14626-3834
Mailing Address - Country:US
Mailing Address - Phone:585-623-3142
Mailing Address - Fax:
Practice Address - Street 1:166 GORDON DR
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14626-3834
Practice Address - Country:US
Practice Address - Phone:585-623-3142
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-17
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000966103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst