Individual
GABRIELLE BIANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
552 WILDLIFE CT, FAIRBORN, OH 45324-4476
(484) 401-8532
Mailing address
552 WILDLIFE CT, FAIRBORN, OH 45324-4476
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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