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NPI Code Detail

MEDICARE: GABRIELLE AURORA WHITE

MEDICARE: GABRIELLE AURORA WHITE
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
1106S00000XBehavior TechnicianMI

General Provider Information

NPI Number : 1922932706
Entity Type Code : Individual
Provider Name (Legal Business Name) : GABRIELLE AURORA WHITE
Provider Business Mailing Address
First Line : 23663 PARK ST
Second Line :
City : DEARBORN
State : MI
Zip : 48124-2547
Country : US
Telephone Number : 313-689-5188
Fax Number :
Provider Business Practice Location Address
First Line : 23663 PARK ST
Second Line :
City : DEARBORN
State : MI
Zip : 48124-2547
Country : US
Telephone Number : 313-689-5188
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2026
Last Update Date : 06/09/2026

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48124-2547
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1508790387 — ARACELI ORTEGA
Practice Location Address:
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48124-2547
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Practice Fax:
1821920984 — AYA FARAJ
Practice Location Address:
23663 PARK ST
DEARBORN, MI
48124-2547
Practice Phone: 313-689-5188
Practice Fax: 866-861-5188

Directions to “ GABRIELLE AURORA WHITE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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