Individual
MS. GISEL JENNY GERARDO PATRICIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1010 VILLAGE RIVER DR, KNIGHTDALE, NC 27545-8687
(919) 358-2862
Mailing address
1010 VILLAGE RIVER DR, KNIGHTDALE, NC 27545-8687
(919) 358-2862
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-34569
NC
Other
Enumeration date
05/20/2019
Last updated
05/20/2019
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