Healthcare Provider Details

I. General information

NPI: 1770410185
Provider Name (Legal Business Name): ABIGAIL GILBERT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2808 KILPATRICK BLVD
MONROE LA
71201-5139
US

IV. Provider business mailing address

208 JAX SQ
STERLINGTON LA
71280-3378
US

V. Phone/Fax

Practice location:
  • Phone: 318-588-8908
  • Fax: 318-588-8909
Mailing address:
  • Phone: 318-588-8908
  • Fax: 318-588-8909

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberR-23667
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: