Provider Demographics
NPI:1912478611
Name:VALIAPARUMBIL, ALEY
Entity type:Individual
Prefix:
First Name:ALEY
Middle Name:
Last Name:VALIAPARUMBIL
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 1:12808 S CIRCLE PKWY
Mailing Address - Street 2:
Mailing Address - City:PALOS PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60464-1609
Mailing Address - Country:US
Mailing Address - Phone:708-285-1012
Mailing Address - Fax:
Practice Address - Street 1:12808 S CIRCLE PKWY
Practice Address - Street 2:
Practice Address - City:PALOS PARK
Practice Address - State:IL
Practice Address - Zip Code:60464-1609
Practice Address - Country:US
Practice Address - Phone:708-285-1012
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-06
Last Update Date:2018-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst