Provider Demographics
NPI:1780082420
Name:DELORIO, GLORI (MA, BCBA)
Entity type:Individual
Prefix:MRS
First Name:GLORI
Middle Name:
Last Name:DELORIO
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:GLORI
Other - Middle Name:
Other - Last Name:BROOKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5022 W AVENUE N STE 102-123
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93551-5757
Mailing Address - Country:US
Mailing Address - Phone:818-389-6212
Mailing Address - Fax:
Practice Address - Street 1:5022 W AVENUE N STE 102-123
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93551-5757
Practice Address - Country:US
Practice Address - Phone:818-389-6212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-11
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-14-9987103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst