Provider Demographics
NPI:1588479406
Name:QUEST, VANESSA PRINCESS
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:PRINCESS
Last Name:QUEST
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 1:5931 ORANGE AVE UNIT A
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90805-3530
Mailing Address - Country:US
Mailing Address - Phone:562-241-2479
Mailing Address - Fax:
Practice Address - Street 1:5931 ORANGE AVE UNIT A
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90805-3530
Practice Address - Country:US
Practice Address - Phone:562-234-2589
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst