Provider Demographics
NPI:1942452008
Name:IRLBACHER, ANNE MARIE (RBT)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:MARIE
Last Name:IRLBACHER
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:MARIE
Other - Last Name:DELUCIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RBT
Mailing Address - Street 1:1005 NORWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15202-1005
Mailing Address - Country:US
Mailing Address - Phone:814-594-9067
Mailing Address - Fax:
Practice Address - Street 1:26 ESSEX DR
Practice Address - Street 2:
Practice Address - City:CORAOPOLIS
Practice Address - State:PA
Practice Address - Zip Code:15108
Practice Address - Country:US
Practice Address - Phone:724-462-0385
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2018-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARBT-18-67153106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician