Most Relevant Information
Provider Data
| NPI Number: | 1003568239 |
| Provider Name: | GABRIELLA FULWOOD |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | 1-24-74579 |
Most Important Dates
| Enumeration Date: | 01/19/2022 |
| Last Updated: | 08/09/2024 |
Provider Practice Location
990 LEE ANN DR NE STE 2
CONCORD
NC
280252957
Practice Location Phone/Fax
| Phone: | 7047996824 |
| Fax: | 7047996825 |
Provider Mailing Location
134 INFIELD CT
MOORESVILLE
NC
281178026
Provider Mailing Phone/Fax
| Phone: | 7047996824 |
| Fax: | 7047996825 |