Individual
GABRIELLE MARIE FIBROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 STATE ST, SALEM, OR 97301-5861
(971) 273-7502
Mailing address
3400 STATE ST, SALEM, OR 97301-5861
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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