Provider / Organization | NPI | Date Certified |
---|---|---|
TERRANCE GORDON DEAN LABRIOLA | 1477120780 | 2021-06-06 |
Terrance Gordon Dean Labriola is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1477120780. Registration indicates Terrance Gordon Dean Labriola is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
Entity Type | Individual |
Provider Name | Terrance Gordon Dean Labriola |
Practice Office Address | 1025 ATLANTIC AVE STE 101 ALAMEDA, CA US |
Practice Office Telephone | 5102688120 |
Mailing Address | 5537 SIERRA AVE RICHMOND, CA 948051932 US |
Business Telephone | 5102825640 |
Code | Practice | License No State |
---|---|---|
106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |