Individual
GABRIELLE FAY KALLENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8020 W SAHARA AVE STE 125, LAS VEGAS, NV 89117-7917
(702) 470-0620
Mailing address
3576 GLASSTOP DR, LAS VEGAS, NV 89141-6127
(210) 391-1968
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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