Provider Demographics
NPI:1437791050
Name:ALDERETE, CHANTEL MONIQUE
Entity Type:Individual
Prefix:
First Name:CHANTEL
Middle Name:MONIQUE
Last Name:ALDERETE
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 1:1000 BIBLE WAY STE 63
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-2134
Mailing Address - Country:US
Mailing Address - Phone:775-247-1904
Mailing Address - Fax:
Practice Address - Street 1:1000 BIBLE WAY STE 63
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-2134
Practice Address - Country:US
Practice Address - Phone:775-247-1904
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-15
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty