Provider Demographics
NPI:1649898297
Name:HARPER, VALENCIA ROSE (MAT, BCBA)
Entity type:Individual
Prefix:
First Name:VALENCIA
Middle Name:ROSE
Last Name:HARPER
Suffix:
Gender:F
Credentials:MAT, BCBA
Other - Prefix:
Other - First Name:VALENCIA
Other - Middle Name:HARPER
Other - Last Name:COSBY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MAT, BCBA
Mailing Address - Street 1:1205 KAYLYN CT NW
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30152-5499
Mailing Address - Country:US
Mailing Address - Phone:404-822-6609
Mailing Address - Fax:
Practice Address - Street 1:1000 MANSELL EXCHANGE W
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-4868
Practice Address - Country:US
Practice Address - Phone:404-822-6609
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-10
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1-22-58638103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst