Individual
GABRIELLE RANCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
59 INTERSTATE DR, WEST SPRINGFIELD, MA 01089-5100
(774) 573-0256
Mailing address
11 DONAMOR LN, EAST LONGMEADOW, MA 01028-2219
(413) 281-9902
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
80
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103K00000X
BEHAVIOR ANALYST
MA
Enumeration date
04/15/2010
Last updated
10/03/2017
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