Individual
ELISE D GAMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LABA
Contact information
Practice address
2 INGALLS TER, PLAISTOW, NH 03865-2210
(978) 882-3796
Mailing address
2 INGALLS TER, PLAISTOW, NH 03865-2210
(978) 882-3796
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-33852
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-18-33852
BEHAVIOR ANALYST CERTIFICATION BOARD
—
01
—
2257
LICENSE APPLIED BEHAVIOR ANALYST
MA
Enumeration date
02/17/2023
Last updated
02/17/2023
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