Healthcare Provider Details

I. General information

NPI: 1508497843
Provider Name (Legal Business Name): GABRIELLE ANAIS SCHIRMER BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: GABRIELLE ANAIS BATE-MATCHETT

II. Dates (important events)

Enumeration Date: 01/27/2020
Last Update Date: 04/22/2025
Certification Date: 04/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 MILITARY CUTOFF RD
WILMINGTON NC
28405-9737
US

IV. Provider business mailing address

5411 PEDEN POINT RD
WILMINGTON NC
28409-4307
US

V. Phone/Fax

Practice location:
  • Phone: 910-524-2634
  • Fax:
Mailing address:
  • Phone: 515-473-4192
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-22-59637
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: