Individual
GISELLE PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1909 HILLBROOKE TRL, TALLAHASSEE, FL 32311-7901
(855) 832-6727
Mailing address
170 GREGORY LN, BRENTWOOD, CA 94513-2177
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10924925
—
CA
Enumeration date
03/07/2023
Last updated
03/07/2023
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