Individual
GABRIELLE VICTORIA SIETSMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
51 ROBERT ST, NORTH HALEDON, NJ 07508-2756
(732) 754-2179
Mailing address
51 ROBERT ST, NORTH HALEDON, NJ 07508-2756
(732) 754-2179
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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