Provider Demographics
NPI:1669911012
Name:DELIPERI, PRISCA
Entity type:Individual
Prefix:
First Name:PRISCA
Middle Name:
Last Name:DELIPERI
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 1:1210 PALISADE AVE
Mailing Address - Street 2:APT #3
Mailing Address - City:UNION CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07087-4228
Mailing Address - Country:US
Mailing Address - Phone:201-238-4002
Mailing Address - Fax:
Practice Address - Street 1:1210 PALISADE AVE
Practice Address - Street 2:APT #3
Practice Address - City:UNION CITY
Practice Address - State:NJ
Practice Address - Zip Code:07087-4228
Practice Address - Country:US
Practice Address - Phone:201-238-4002
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-17
Last Update Date:2017-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1-14-15694103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst