Provider Demographics
NPI:1063188456
Name:ALIBRANDO, ANTONIO
Entity type:Individual
Prefix:
First Name:ANTONIO
Middle Name:
Last Name:ALIBRANDO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9237 WARD PKWY STE 240
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64114-3365
Mailing Address - Country:US
Mailing Address - Phone:816-321-1414
Mailing Address - Fax:855-461-3252
Practice Address - Street 1:9237 WARD PKWY STE 240
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-3365
Practice Address - Country:US
Practice Address - Phone:816-321-1414
Practice Address - Fax:855-461-3252
Is Sole Proprietor?:No
Enumeration Date:2021-08-17
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374700000XNursing Service Related ProvidersTechnician
No101Y00000XBehavioral Health & Social Service ProvidersCounselor