Provider Demographics
NPI:1851803241
Name:YEPEZ, VALESCA V (MSW)
Entity Type:Individual
Prefix:
First Name:VALESCA
Middle Name:V
Last Name:YEPEZ
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:VALESCA
Other - Middle Name:V
Other - Last Name:VASQUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:91 MAIN ST APT 2
Mailing Address - Street 2:
Mailing Address - City:METUCHEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08840-2742
Mailing Address - Country:US
Mailing Address - Phone:908-759-3960
Mailing Address - Fax:
Practice Address - Street 1:91 MAIN ST APT 2
Practice Address - Street 2:
Practice Address - City:METUCHEN
Practice Address - State:NJ
Practice Address - Zip Code:08840-2742
Practice Address - Country:US
Practice Address - Phone:908-759-3960
Practice Address - Fax:908-759-3960
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-25
Last Update Date:2017-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst