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Individual

KRISTA LEE GENGO GAJESKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., BCBA, LBA

Contact information

Practice address
5631 DURALEIGH RD,, RALEIGH, NC 27612
(919) 444-0668
Mailing address
253 BROOKHAVEN TRL, PINGREE GROVE, IL 60140-9161
(972) 742-6596

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-15-18452
IL
103K00000X
Behavior Analyst
11518452
TX
103K00000X
Behavior Analyst
Primary
2539
NC

Other

Enumeration date
02/24/2016
Last updated
06/19/2025
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