Individual
GABRIELE MARIE CLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10340 DEMOCRACY LN STE BAND103, FAIRFAX, VA 22030-2518
(571) 386-0871
Mailing address
5850 GRANITE PKWY STE 600, PLANO, TX 75024-6753
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
C60014120
VA
Other
Enumeration date
05/06/2022
Last updated
05/06/2022
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