Individual
GABRIELLE ELIZABETH BANISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1640 BORO PL FL 4, MC LEAN, VA 22102-3627
(571) 464-4299
Mailing address
1640 BORO PL FL 4, MC LEAN, VA 22102-3627
(571) 464-4299
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/27/2017
Last updated
05/09/2024
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