Provider Demographics
NPI:1891684072
Name:SIROTA, VALERIE ALLISON (MS)
Entity type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:ALLISON
Last Name:SIROTA
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:ALEENA
Other - Middle Name:
Other - Last Name:SIROTA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:18 CARRIAGE HILL LN
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12603-4230
Mailing Address - Country:US
Mailing Address - Phone:845-554-2570
Mailing Address - Fax:
Practice Address - Street 1:488 FREEDOM PLAINS RD
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12603-2689
Practice Address - Country:US
Practice Address - Phone:845-327-7111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001988103K00000X
NY004032103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst