Individual
GABRIELLE CAPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1985 E MAIN ST STE 12, SPARTANBURG, SC 29307-2314
(803) 905-5107
Mailing address
2580 LIN DO CT, SUMTER, SC 29150-1832
(803) 905-4427
(803) 905-4431
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
18-50236
SC
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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