Provider Demographics
NPI:1467868588
Name:TARRAGANO, ALBERT
Entity Type:Individual
Prefix:
First Name:ALBERT
Middle Name:
Last Name:TARRAGANO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2561 E AMBUSH ST
Mailing Address - Street 2:#2
Mailing Address - City:PAHRUMP
Mailing Address - State:NV
Mailing Address - Zip Code:89048-3663
Mailing Address - Country:US
Mailing Address - Phone:775-443-6425
Mailing Address - Fax:
Practice Address - Street 1:2561 E AMBUSH ST
Practice Address - Street 2:#2
Practice Address - City:PAHRUMP
Practice Address - State:NV
Practice Address - Zip Code:89048-3663
Practice Address - Country:US
Practice Address - Phone:775-443-6425
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-09
Last Update Date:2014-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst