Most Relevant Information
Provider Data
NPI Number: | 1003551763 |
Provider Name: | GABRIELLE KING |
Entity Type: | Individual |
Taxonomy Code: | 106S00000X |
Specialty: | Behavior Technician |
License Number: | RBT-21-195900 |
Most Important Dates
Enumeration Date: | 04/27/2022 |
Last Updated: | 06/20/2024 |
Provider Practice Location
706 W PATRICK ST
FREDERICK
MD
217014030
Practice Location Phone/Fax
Phone: | 3018827932 |
Fax: |
Provider Mailing Location
1901 ELLINGWOOD CT
FREDERICK
MD
217026448
Provider Mailing Phone/Fax
Phone: | 3017887939 |
Fax: |