Provider Demographics
NPI:1245000280
Name:GASS, ALAINA GRACE
Entity type:Individual
Prefix:
First Name:ALAINA
Middle Name:GRACE
Last Name:GASS
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 1:204 W TUSCALOOSA ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35630-5428
Mailing Address - Country:US
Mailing Address - Phone:205-388-0226
Mailing Address - Fax:
Practice Address - Street 1:204 W TUSCALOOSA ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630-5428
Practice Address - Country:US
Practice Address - Phone:205-388-0226
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-02
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty