Individual
GABRIELLE FONTENOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1161 LAKE COOK RD, DEERFIELD, IL 60015-5649
(224) 284-2240
(312) 893-2118
Mailing address
1161 LAKE COOK RD, DEERFIELD, IL 60015-5649
(224) 284-2240
(312) 893-2118
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-206735
IL
Other
Enumeration date
03/10/2022
Last updated
03/10/2022
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