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Individual

GABRIELLA TASSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1120 MEDICAL CENTER DR, WILMINGTON, NC 28401-7305
(910) 756-3447
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-49951
NC

Other

Enumeration date
06/17/2019
Last updated
07/09/2024
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