Provider Demographics
NPI:1760265979
Name:SUGIHARA, VALERIE LYNNE
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:LYNNE
Last Name:SUGIHARA
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 1:4089 S SHAWNEE ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80018-3150
Mailing Address - Country:US
Mailing Address - Phone:909-549-2874
Mailing Address - Fax:
Practice Address - Street 1:4089 S SHAWNEE ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80018-3150
Practice Address - Country:US
Practice Address - Phone:909-549-2874
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician