Provider Demographics
NPI:1467084590
Name:DELACRUZ, VALERIEANNE NAVALTA
Entity Type:Individual
Prefix:MS
First Name:VALERIEANNE
Middle Name:NAVALTA
Last Name:DELACRUZ
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 1:337 WALNUT STREET, B
Mailing Address - Street 2:
Mailing Address - City:ARROYO GRANDE
Mailing Address - State:CA
Mailing Address - Zip Code:93420
Mailing Address - Country:US
Mailing Address - Phone:559-440-1546
Mailing Address - Fax:
Practice Address - Street 1:1075 BETTERAVIA RD.,
Practice Address - Street 2:SUITE 201
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93454
Practice Address - Country:US
Practice Address - Phone:805-621-7714
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-06
Last Update Date:2024-01-24
Deactivation Date:2024-01-16
Deactivation Code:
Reactivation Date:2024-01-23
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician