Provider Demographics
NPI:1598507865
Name:GEBRIL, ALBARAA MOHAMED (RBT)
Entity type:Individual
Prefix:
First Name:ALBARAA
Middle Name:MOHAMED
Last Name:GEBRIL
Suffix:
Gender:M
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 WILLET ST
Mailing Address - Street 2:
Mailing Address - City:PASSAIC
Mailing Address - State:NJ
Mailing Address - Zip Code:07055-1927
Mailing Address - Country:US
Mailing Address - Phone:201-403-0019
Mailing Address - Fax:
Practice Address - Street 1:135 WILLET ST
Practice Address - Street 2:
Practice Address - City:PASSAIC
Practice Address - State:NJ
Practice Address - Zip Code:07055-1927
Practice Address - Country:US
Practice Address - Phone:201-403-0019
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-08
Last Update Date:2024-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician