Individual
GABRIELLA TASSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 DOCTORS DR STE J, JACKSONVILLE, NC 28546-6308
(404) 400-5004
Mailing address
9375 E SHEA BLVD, SCOTTSDALE, AZ 85260-6991
(404) 400-5004
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-49951
NC
Other
Enumeration date
06/17/2019
Last updated
06/06/2026
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