Individual
MS. GABRIELLE SAMANTHA DEPAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
7375 WOODWARD AVE STE 2800, DETROIT, MI 48202-3157
(888) 922-2843
Mailing address
7226 SEPULVEDA BLVD, VAN NUYS, CA 91405-2003
(818) 235-1414
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-52385
CA
Other
Enumeration date
03/12/2019
Last updated
07/11/2022
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