Individual
MRS. KARLIE GABRIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
125 W TAYLOR ST, KOKOMO, IN 46901-4554
(765) 419-0411
Mailing address
2624 CEDAR RUN DR, KOKOMO, IN 46902-7523
(765) 210-9060
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-42713
IN
Other
Enumeration date
06/18/2020
Last updated
06/19/2020
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