Provider Demographics
NPI:1467036525
Name:VALERIO, LIANNE (MS, BCBA)
Entity Type:Individual
Prefix:
First Name:LIANNE
Middle Name:
Last Name:VALERIO
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:LIANNE-THERESE
Other - Middle Name:C
Other - Last Name:VALERIO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, BCBA
Mailing Address - Street 1:18726 S WESTERN AVE STE 408
Mailing Address - Street 2:
Mailing Address - City:GARDENA
Mailing Address - State:CA
Mailing Address - Zip Code:90248-3858
Mailing Address - Country:US
Mailing Address - Phone:310-856-0800
Mailing Address - Fax:
Practice Address - Street 1:201 N BRAND BLVD UNIT 233
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-3588
Practice Address - Country:US
Practice Address - Phone:310-493-5805
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-05
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician