Provider Demographics
NPI:1093289415
Name:ALONZO, VALERIE (MED, BCBA)
Entity Type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:
Last Name:ALONZO
Suffix:
Gender:F
Credentials:MED, BCBA
Other - Prefix:
Other - First Name:VALERIE
Other - Middle Name:
Other - Last Name:KOPYTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED, BCBA
Mailing Address - Street 1:6925 NORTHBURY LN APT 1333
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28226-8683
Mailing Address - Country:US
Mailing Address - Phone:412-477-7340
Mailing Address - Fax:
Practice Address - Street 1:10516 PARK RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-8405
Practice Address - Country:US
Practice Address - Phone:704-325-5034
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-18
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1-18-33959103K00000X
103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst