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NPI Code Detail

MEDICARE: GABRIELLE DEMBY BCBA, LBA

MEDICARE: GABRIELLE DEMBY BCBA, LBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior AnalystBEH-000676AZ

General Provider Information

NPI Number : 1578143079
Entity Type Code : Individual
Provider Name (Legal Business Name) : GABRIELLE DEMBY BCBA, LBA
Provider Business Mailing Address
First Line : 800 W WILLIS RD APT 2008
Second Line :
City : CHANDLER
State : AZ
Zip : 85286-6531
Country : US
Telephone Number : 920-819-0853
Fax Number :
Provider Business Practice Location Address
First Line : 1519 S HIGLEY RD
Second Line :
City : GILBERT
State : AZ
Zip : 85296-4793
Country : US
Telephone Number : 480-297-0894
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2021
Last Update Date : 10/26/2022

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