Provider Demographics
NPI:1144105024
Name:LABRIAS, LAVINIA
Entity type:Individual
Prefix:
First Name:LAVINIA
Middle Name:
Last Name:LABRIAS
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:499 WELCHS POINT RD
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460-7505
Mailing Address - Country:US
Mailing Address - Phone:203-804-0957
Mailing Address - Fax:
Practice Address - Street 1:24 BELDEN AVE STE 4
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06850-3314
Practice Address - Country:US
Practice Address - Phone:203-772-8161
Practice Address - Fax:203-580-8319
Is Sole Proprietor?:No
Enumeration Date:2025-08-08
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician