Gabrielle Avery, COTA/L

NPI #1811455058 in Lithia, Florida

Provider Information

NPI Number: 1811455058
Entity Type: Individual
Name: Gabrielle Avery, COTA/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: COTA/L
Enumeration Date: Mar 6, 2019
Last Updated: Mar 6, 2019

Practice Location

Address: 5454 LITHIA PINECREST RD
City: Lithia
State: Florida
ZIP Code: 33547-2853
Phone: (866) 610-0580

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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