Provider Demographics
NPI:1730631771
Name:ORLANDO, LAURA (BACB)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:
Last Name:ORLANDO
Suffix:
Gender:F
Credentials:BACB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 RUTH CT
Mailing Address - Street 2:
Mailing Address - City:MORGANVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07751-1023
Mailing Address - Country:US
Mailing Address - Phone:732-617-7174
Mailing Address - Fax:
Practice Address - Street 1:5 RUTH CT
Practice Address - Street 2:
Practice Address - City:MORGANVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07751-1023
Practice Address - Country:US
Practice Address - Phone:732-617-7174
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-25
Last Update Date:2016-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ11623125103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst