Individual
GABRIELLE VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
331 LANDRUM PL, CLARKSVILLE, TN 37043-6329
(931) 553-1395
Mailing address
331 LANDRUM PL, CLARKSVILLE, TN 37043-6329
(931) 553-1395
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
322
TN
247200000X
Other Technician
—
TX
Other
Enumeration date
01/02/2015
Last updated
03/30/2021
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