Gabrielle Gustafson

NPI #1003628272 in Boulder, Colorado

Provider Information

NPI Number: 1003628272
Entity Type: Individual
Name: Gabrielle Gustafson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 23, 2025
Last Updated: Jan 23, 2025

Practice Location

Address: 5305 SPINE RD STE A
City: Boulder
State: Colorado
ZIP Code: 80301-3331
Phone: (720) 643-2350

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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