Provider Demographics
NPI:1922473495
Name:VALERIO, MELINA (BS)
Entity Type:Individual
Prefix:MRS
First Name:MELINA
Middle Name:
Last Name:VALERIO
Suffix:
Gender:F
Credentials:BS
Other - Prefix:MISS
Other - First Name:MELINA
Other - Middle Name:
Other - Last Name:ANDARCIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11000 S STATE LINE RD
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60617-6836
Mailing Address - Country:US
Mailing Address - Phone:773-799-7228
Mailing Address - Fax:
Practice Address - Street 1:11000 S STATE LINE RD
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60617-6836
Practice Address - Country:US
Practice Address - Phone:773-799-7228
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-09
Last Update Date:2015-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst