Provider Demographics
NPI:1659107043
Name:PIECE IT TOGETHER
Entity type:Organization
Organization Name:PIECE IT TOGETHER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO / PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIELA
Authorized Official - Middle Name:
Authorized Official - Last Name:VALLETTE
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:626-641-0082
Mailing Address - Street 1:359 W HEBER ST
Mailing Address - Street 2:
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91741-4220
Mailing Address - Country:US
Mailing Address - Phone:626-641-0082
Mailing Address - Fax:
Practice Address - Street 1:359 W HEBER ST
Practice Address - Street 2:
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91741-4220
Practice Address - Country:US
Practice Address - Phone:626-641-0082
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-11
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health