Provider Demographics
NPI:1447506928
Name:FERRERO, VANESSA (MS ED BCBA)
Entity type:Individual
Prefix:MRS
First Name:VANESSA
Middle Name:
Last Name:FERRERO
Suffix:
Gender:F
Credentials:MS ED BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:183 BROOKHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:EAST LONGMEADOW
Mailing Address - State:MA
Mailing Address - Zip Code:01028-1474
Mailing Address - Country:US
Mailing Address - Phone:413-427-2169
Mailing Address - Fax:
Practice Address - Street 1:232 N MAIN ST
Practice Address - Street 2:
Practice Address - City:EAST LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01028-1844
Practice Address - Country:US
Practice Address - Phone:413-224-1261
Practice Address - Fax:413-224-1078
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-02
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
MA1062960103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst