Individual
BRIANNE GASTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1007 COUNTY ROAD 468, LEESBURG, FL 34748-9330
(352) 531-9131
Mailing address
1007 COUNTY ROAD 468, LEESBURG, FL 34748-9330
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
FL
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
12/21/2023
Last updated
01/09/2024
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