Provider Demographics
NPI:1992219802
Name:LOMBARDI, VALERIE ANN (BCBA, MSED)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:ANN
Last Name:LOMBARDI
Suffix:
Gender:F
Credentials:BCBA, MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 BELLVALE LAKES RD
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:NY
Mailing Address - Zip Code:10990-3404
Mailing Address - Country:US
Mailing Address - Phone:845-395-0436
Mailing Address - Fax:
Practice Address - Street 1:210 BELLVALE LAKES RD
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:NY
Practice Address - Zip Code:10990-3404
Practice Address - Country:US
Practice Address - Phone:845-395-0436
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-30
Last Update Date:2017-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1-17-27954103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst