Healthcare Provider Details

I. General information

NPI: 1457015828
Provider Name (Legal Business Name): MS. GABRIELL ABRAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/22/2021
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 HURFFVILLE CROSSKEYS RD STE 108
SEWELL NJ
08080-9340
US

IV. Provider business mailing address

542 AMHERST ST STE B
NASHUA NH
03063-1016
US

V. Phone/Fax

Practice location:
  • Phone: 640-291-0390
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-21-53193
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: