Individual
GABRIELLE KASIA GUSTAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
771 CHURCH ST, NORTH ADAMS, MA 01247-4109
(413) 664-9382
Mailing address
771 CHURCH ST, NORTH ADAMS, MA 01247-4109
(413) 664-9382
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/03/2017
Last updated
11/03/2017
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