Provider Demographics
NPI:1902192925
Name:GABLER, COURTNEY JUSTINE (MS, BCBA)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:JUSTINE
Last Name:GABLER
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1207 CORDOVA GRN
Mailing Address - Street 2:
Mailing Address - City:SEMINOLE
Mailing Address - State:FL
Mailing Address - Zip Code:33777-2258
Mailing Address - Country:US
Mailing Address - Phone:727-515-4705
Mailing Address - Fax:727-781-7220
Practice Address - Street 1:2460 NORTHSIDE DR
Practice Address - Street 2:#1303
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33761-2237
Practice Address - Country:US
Practice Address - Phone:727-781-7200
Practice Address - Fax:727-781-7220
Is Sole Proprietor?:No
Enumeration Date:2011-06-28
Last Update Date:2011-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst