MEDICARE: VALERIE ADEVA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	373H00000X	Day Training/Habilitation Specialist		CA
2	103T00000X	Psychologist		CA

General Provider Information

NPI Number	:	1235934837
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALERIE ADEVA

Provider Business Mailing Address
First Line	:	1199 PARK GROVE DR
Second Line	:
City	:	MILPITAS
State	:	CA
Zip	:	95035-4603
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 N LAKE AVE
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91101-4107
Country	:	US
Telephone Number	:	626-354-6440
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2025
Last Update Date	:	11/25/2025

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