Active NPIIndividual provider

Diane P Vandriesen, MS, , CCC, BCBA

Behavior Analyst in Princeton, New Jersey

NPI Number1780901777
Practice location
1 Eden Way, Princeton, NJ 08540
Fax
—
Last updated
April 29, 2010

Diane Patricai Vandriesen is a Behavior Analyst based in Princeton, NJ. Diane Patricai Vandriesen practices in Princeton, NJ and has the professional credentials of MS, , CCC, BCBA. The NPI Number for Diane Patricai Vandriesen is 1780901777 and holds a License No. 1-03-1143 (NJ). The current practice location address for Diane Patricai Vandriesen is 1 Eden Way, Princeton, NJ 08540 and can be reached out via phone at 609-987-0099.

Provider Profile Details

NPI Number
1780901777
Provider Name
Diane Patricai Vandriesen
Credential
MS, , CCC, BCBA
Provider Entity Type
Individual
Gender
Female
Address
1 Eden Way, Princeton, NJ 08540
Phone Number
609-987-0099
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
No
Provider Enumeration Date
April 29, 2010
Last Update Date
April 29, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Eden Way
Princeton, NJ 08540
Zip
08540
Phone Number
609-987-0099
Princeton, NJ 08540Get directions →

Provider Business Mailing Address Details

Address
10 Fawn CT
Monroe Township, NJ 08831-1180
City
Monroe Township
State
NJ
Zip
08831-1180
Phone Number
732-991-6602

License Information

License Number (1)
1-03-1143
License State (1)
NJ
Taxonomy (1)
Behavior Analyst · 103K00000X · Primary
License Number (2)
YS002404
License State (2)
NJ
Taxonomy (2)
Speech-Language Pathologist, · 235Z00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Diane P Vandriesen, MS, , CCC, BCBA?

The NPI number of Diane P Vandriesen, MS, , CCC, BCBA is 1780901777. It was assigned on April 29, 2010 and is currently active in the NPPES registry.

What is the specialty of Diane P Vandriesen, MS, , CCC, BCBA?

Diane P Vandriesen, MS, , CCC, BCBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in NJ under license number 1-03-1143.

Where does Diane P Vandriesen, MS, , CCC, BCBA practice?

The practice location is 1 Eden Way, Princeton, NJ 08540. The office can be reached at 609-987-0099 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1780901777 directly on the NPPES registry website.

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