Provider Demographics
NPI:1376034108
Name:DELLARINGA, ALEX (BCBA)
Entity Type:Individual
Prefix:
First Name:ALEX
Middle Name:
Last Name:DELLARINGA
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:ALEXANDRIA
Other - Middle Name:
Other - Last Name:DELLARINGA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2609 N DUKE ST STE 900
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704-3019
Mailing Address - Country:US
Mailing Address - Phone:704-572-3810
Mailing Address - Fax:
Practice Address - Street 1:2609 N DUKE ST STE 900
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704-3019
Practice Address - Country:US
Practice Address - Phone:704-572-3810
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-29
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-19-35446103K00000X
RBT-17-31213106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
RBT-17-31213OtherBACB