Provider Demographics
NPI:1598439101
Name:GERBASI, FIORELLA
Entity Type:Individual
Prefix:
First Name:FIORELLA
Middle Name:
Last Name:GERBASI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 ANDREA CT
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:NJ
Mailing Address - Zip Code:07871-3019
Mailing Address - Country:US
Mailing Address - Phone:862-248-3073
Mailing Address - Fax:
Practice Address - Street 1:34 ANDREA CT
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:NJ
Practice Address - Zip Code:07871-3019
Practice Address - Country:US
Practice Address - Phone:862-248-3073
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-06
Last Update Date:2021-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst