Individual
GABRIELLE BETANCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
62 PROVIDENCE PIKE STE E, PUTNAM, CT 06260-2415
(855) 295-3276
(888) 588-2752
Mailing address
1333 S MAYFLOWER AVE STE 220, MONROVIA, CA 91016-5239
(855) 295-3276
(888) 588-2752
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-40359
CT
Other
Enumeration date
07/14/2020
Last updated
01/15/2024
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