Healthcare Provider Details

I. General information

NPI: 1528848017
Provider Name (Legal Business Name): GABRIELLA GILL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2023
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7500 GREENWAY CENTER DR STE 1300
GREENBELT MD
20770-3575
US

IV. Provider business mailing address

6700 ALEXANDER BELL DR STE 200
COLUMBIA MD
21046-2105
US

V. Phone/Fax

Practice location:
  • Phone: 240-387-4946
  • Fax:
Mailing address:
  • Phone: 410-705-0227
  • Fax: 646-859-4440

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: