Gabriel Shannon Carter
Behavior Technician in Euharlee, GA. Individual provider (NPI-1).
NPI number1790447647
StatusActive
Last updated in NPPESMar 6, 2024
Details
- NPI
- 1790447647
- Entity type
- Individual (NPI-1)
- Name
- Gabriel Shannon Carter
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 7, 2021
- Certification date
- Mar 6, 2024
- Last updated
- Mar 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
13 Hunters VwEuharlee, GA 30145-2834
Phone 706-728-5394
Mailing address
13 Hunters VwEuharlee, GA 30145-2834
Phone 706-728-5394
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