Individual
GABRIEL MEDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, RBT
Contact information
Practice address
22375 BRODERICK DR STE 125, STERLING, VA 20166-9345
(571) 375-0214
Mailing address
22375 BRODERICK DR STE 125, STERLING, VA 20166-9345
(571) 375-0214
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-150496
VA
Other
Enumeration date
01/20/2021
Last updated
01/20/2021
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