Healthcare Provider Details

I. General information

NPI: 1265396568
Provider Name (Legal Business Name): GABRIELLE TURNER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12240 INDIAN CREEK CT
BELTSVILLE MD
20705-1242
US

IV. Provider business mailing address

175 BELGROVE DR
KEARNY NJ
07032-1507
US

V. Phone/Fax

Practice location:
  • Phone: 201-979-1336
  • Fax:
Mailing address:
  • Phone: 201-979-1336
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberBT
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: