Individual
GABRIYELLE GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7495 W AZURE DR STE 203, LAS VEGAS, NV 89130-4416
(702) 815-9046
Mailing address
7495 W AZURE DR STE 203, LAS VEGAS, NV 89130-4416
(702) 815-9046
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
842301821
—
NV
Enumeration date
06/06/2021
Last updated
06/06/2021
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