Individual
GABRIEL MILAN WITHERINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
206 E REYNOLDS DR STE J1, RUSTON, LA 71270-2856
(318) 224-7223
(318) 415-1004
Mailing address
206 E REYNOLDS DR STE F2, RUSTON, LA 71270-2809
(318) 224-7223
(318) 415-1004
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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