Provider Demographics
NPI:1144013715
Name:ALVAREZ, VERONICA
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7615 GOLDEN TRIANGLE DR STE A
Mailing Address - Street 2:
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55344-3733
Mailing Address - Country:US
Mailing Address - Phone:952-767-6900
Mailing Address - Fax:
Practice Address - Street 1:7615 GOLDEN TRIANGLE DR. SUITE A
Practice Address - Street 2:7615 GOLDEN TRIANGLE DR. SUITE A
Practice Address - City:EDEN PRARIE
Practice Address - State:MN
Practice Address - Zip Code:55344-5534
Practice Address - Country:US
Practice Address - Phone:952-767-6900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-27
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician