MEDICARE: GABRIELLE FALLACARA

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
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1578453692
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GABRIELLE FALLACARA

Provider Business Mailing Address
First Line	:	1002 WASHBURN DR
Second Line	:
City	:	LEANDER
State	:	TX
Zip	:	78641-8363
Country	:	US
Telephone Number	:	512-417-6300
Fax Number	:

Provider Business Practice Location Address
First Line	:	13800 LYNDHURST ST UNIT 52
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78717-6063
Country	:	US
Telephone Number	:	512-804-8798
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2025
Last Update Date	:	07/09/2025

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Directions to “ GABRIELLE FALLACARA ” Practice Location

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