Individual
GABRIELLE DONNAY REXROAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 BRANCHVIEW DR NE, CONCORD, NC 28025-2213
(704) 780-4271
Mailing address
14620 OLD BEATTY FORD RD, GOLD HILL, NC 28071-9643
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W247325767
AETNA
—
Enumeration date
07/13/2019
Last updated
07/13/2019
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