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Gabrielle Rose Prueter

Behavior Technician in Bay City, MI. Individual provider (NPI-1).

NPI number1114598596
StatusActive
Last updated in NPPESOct 3, 2022

Details

NPI
1114598596
Entity type
Individual (NPI-1)
Name
Gabrielle Rose Prueter
Sex
Female
Sole proprietor
No
Enumeration date
Jul 7, 2021
Certification date
Oct 3, 2022
Last updated
Oct 3, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

3727 Wilder Rd
Bay City, MI 48706-2367

Phone 989-860-5176

Mailing address

7110 Michigan Rd
Bay City, MI 48706-9310

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