Individual
GABRIELLE ALISSA MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 SPENRYN DR, MADISON, AL 35758-1890
(256) 772-4400
Mailing address
100 SPENRYN DR, MADISON, AL 35758-1890
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-25-410909
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-25-410909
RBT
AL
Enumeration date
02/12/2025
Last updated
02/12/2025
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