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Mary Gabrielle Quick

Behavior Technician in San Diego, CA. Individual provider (NPI-1).

NPI number1164075586
StatusActive
Last updated in NPPESFeb 22, 2023

Details

NPI
1164075586
Entity type
Individual (NPI-1)
Name
Mary Gabrielle Quick
Sex
Female
Sole proprietor
No
Enumeration date
Jul 24, 2019
Certification date
Feb 22, 2023
Last updated
Feb 22, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

6160 Cornerstone Ct E Ste 100
San Diego, CA 92121-3724

Phone 858-304-6440

Mailing address

111 Currituck Commerical Dr Ste A1
Moyock, NC 27958-9086

Phone 252-435-1665

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