Provider Demographics
NPI:1336813161
Name:ARMENDARIZ, VALERIE STEPHANIE
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:STEPHANIE
Last Name:ARMENDARIZ
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 1:837 W PRINCETON ST
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91762-1824
Mailing Address - Country:US
Mailing Address - Phone:909-208-7805
Mailing Address - Fax:
Practice Address - Street 1:1650 SPRUCE ST
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92507-7402
Practice Address - Country:US
Practice Address - Phone:760-815-8344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-04
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
1751755OtherCOYNE & ASSOCIATES