Provider Demographics
NPI:1033768999
Name:DE LA ROSA, VANESSA (BCBA)
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:
Last Name:DE LA ROSA
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4466 AMBERLY OAKS CT
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-1407
Mailing Address - Country:US
Mailing Address - Phone:646-342-3075
Mailing Address - Fax:
Practice Address - Street 1:8340 W HILLSBOROUGH AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33615-3806
Practice Address - Country:US
Practice Address - Phone:813-443-0149
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-04
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst