Diane Patricai Vandriesen, M.S,, C.C.C.,B.C.B.A

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-03-1143 Issued in NJ

Practice address

1 Eden Way
Princeton, NJ 08540

Phone

(609) 987-0099

NPI assigned

Apr 29, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272499200000",
    "number": "1780901777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FAWN CT",
            "city": "MONROE TOWNSHIP",
            "state": "NJ",
            "postal_code": "088311180",
            "telephone_number": "732-991-6602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EDEN WAY",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "08540",
            "telephone_number": "609-987-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDRIESEN",
        "first_name": "DIANE",
        "middle_name": "PATRICAI",
        "credential": "M.S,, C.C.C.,B.C.B.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-29",
        "last_updated": "2010-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "1-03-1143",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "YS002404",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sierra Valentino
• Values Into Action NJ, Inc.
• Nicole Van Hessen
• Heather M Van Raalte, M.D.
• Scott C Vanarsdalen, PT
• Margaret Vanmarcke, D.M.D.
• Brian Michael Vannozzi, MD
• Vantage Life Institute NJ, P.a.
• Diane Marie Vanucci, MA,LPC
• Craig E Vanuitert, M.D.

• Behavior Analyst in Princeton, NJ
• Providers in Princeton, NJ by specialty
• Behavior Analyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; 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.