Individual
GABRIELLE O'HARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
265 S HARLAN ST, LAKEWOOD, CO 80226-2261
(720) 982-4179
Mailing address
265 S HARLAN ST, LAKEWOOD, CO 80226-2261
(720) 982-4179
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-30763
CO
103K00000X
Behavior Analyst
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013450451
—
CO
Enumeration date
12/01/2016
Last updated
01/04/2024
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