Gabrielle Brockert
Behavior Technician in Columbus, OH. Individual provider (NPI-1).
NPI number1295345577
StatusActive
Last updated in NPPESAug 3, 2020
Details
- NPI
- 1295345577
- Entity type
- Individual (NPI-1)
- Name
- Gabrielle Brockert
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 3, 2020
- Certification date
- Aug 3, 2020
- Last updated
- Aug 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
4664 Larwell DrColumbus, OH 43220-3621
Phone 614-487-7809
Mailing address
5139 Pheasant StLima, OH 45807-1450
Phone 419-231-0996
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