Provider Demographics
NPI:1760362545
Name:VILORIA, BIANCA (CMPSS)
Entity type:Individual
Prefix:
First Name:BIANCA
Middle Name:
Last Name:VILORIA
Suffix:
Gender:F
Credentials:CMPSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5617 RIO VISTA DR
Mailing Address - Street 2:
Mailing Address - City:BIG RIVER
Mailing Address - State:CA
Mailing Address - Zip Code:92242-9655
Mailing Address - Country:US
Mailing Address - Phone:602-551-2467
Mailing Address - Fax:
Practice Address - Street 1:5617 RIO VISTA DR
Practice Address - Street 2:
Practice Address - City:BIG RIVER
Practice Address - State:CA
Practice Address - Zip Code:92242-9655
Practice Address - Country:US
Practice Address - Phone:602-551-2467
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMPSS-SIHGEM175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist