Valerie Rae Deladurantaye, BS QMHP QIDP

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

Practice address

1961 Parish Rd
Kawkawlin, MI 48631-9459

Phone

(989) 895-2273

NPI assigned

Mar 15, 2018

Last updated

Mar 15, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521072000000",
    "number": "1780187773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 CASS AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487088736",
            "telephone_number": "989-895-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1961 PARISH RD",
            "city": "KAWKAWLIN",
            "state": "MI",
            "postal_code": "486319459",
            "telephone_number": "989-895-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELADURANTAYE",
        "first_name": "VALERIE",
        "middle_name": "RAE",
        "credential": "BS QMHP QIDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-15",
        "last_updated": "2018-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jordyn Elizabeth Cook, LLBSW
• Melanie Corrion
• Laura Demeuse
• Jenni Hardin
• Kerensa Hecht
• Maureen Elizabeth Hergenreder, RN BA
• Chad Alan Jacobs, LPTA

• Day Training/Habilitation Specialist in Kawkawlin, MI
• Providers in Kawkawlin, MI by specialty
• Day Training/Habilitation Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.