Individual
GABRIELLA DAVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA
Contact information
Practice address
3417 30TH ST APT 5A, ASTORIA, NY 11106-3036
(845) 521-2145
Mailing address
3417 30TH ST APT 5A, ASTORIA, NY 11106-3036
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
002069
NY
Other
Enumeration date
10/05/2020
Last updated
10/11/2023
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