Individual
GABRIEL DESHAWN ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4108 FIELDSTONE RD, CHAMPAIGN, IL 61822-8817
(888) 308-3728
Mailing address
1512 W CLARK ST, CHAMPAIGN, IL 61821-3152
(815) 505-4985
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT25-405973
IL
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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