Provider Demographics
NPI:1215526769
Name:QUARLES, DION ORLANDO (ABAT)
Entity type:Individual
Prefix:
First Name:DION
Middle Name:ORLANDO
Last Name:QUARLES
Suffix:
Gender:M
Credentials:ABAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 WHEAT MILL RD
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704-1242
Mailing Address - Country:US
Mailing Address - Phone:240-302-0904
Mailing Address - Fax:919-937-2046
Practice Address - Street 1:615 WHEAT MILL RD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704-1242
Practice Address - Country:US
Practice Address - Phone:252-452-7346
Practice Address - Fax:919-937-2046
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-11
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician