Individual
BRIANNA NICHOLE GENTILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA
Contact information
Practice address
1413 W 31ST AVE, ANCHORAGE, AK 99503-3624
(907) 214-1674
Mailing address
230 BELUGA AVE APT C, JBER, AK 99505-1043
(626) 644-6949
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
195174
AK
106E00000X
Assistant Behavior Analyst
191413
AK
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/02/2020
Last updated
06/01/2022
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