Provider Demographics
NPI:1922857101
Name:ALABASO, ALVIN (MED,BCBA)
Entity type:Individual
Prefix:MR
First Name:ALVIN
Middle Name:
Last Name:ALABASO
Suffix:
Gender:M
Credentials:MED,BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5399 S FLAT ROCK TRL
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85747-0184
Mailing Address - Country:US
Mailing Address - Phone:424-356-8369
Mailing Address - Fax:
Practice Address - Street 1:5399 S FLAT ROCK TRL
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85747-0184
Practice Address - Country:US
Practice Address - Phone:424-356-8369
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-18
Last Update Date:2024-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst