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Gabrielle Elizabeth Banish, BCBA

Behavior Analyst in Mc Lean, VA. Individual provider (NPI-1).

NPI number1710408075
StatusActive
Last updated in NPPESMay 9, 2024

Details

NPI
1710408075
Entity type
Individual (NPI-1)
Name
Gabrielle Elizabeth Banish
Credential
BCBA
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 27, 2017
Certification date
May 9, 2024
Last updated
May 9, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes
106S00000X Behavior Technician––

Practice location

1640 Boro Pl Fl 4
Mc Lean, VA 22102-3627

Phone 571-464-4299

Mailing address

1640 Boro Pl Fl 4
Mc Lean, VA 22102-3627

Phone 571-464-4299

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