Provider Demographics
NPI:1144995499
Name:PRINGLE, GABRIELLE MICHELLE (BCBA)
Entity type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:MICHELLE
Last Name:PRINGLE
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7110 W JEFFERSON AVE STE 150
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80235-2363
Mailing Address - Country:US
Mailing Address - Phone:720-706-3396
Mailing Address - Fax:
Practice Address - Street 1:7110 W JEFFERSON AVE STE 150
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80235-2363
Practice Address - Country:US
Practice Address - Phone:720-706-3396
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-10
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5236103K00000X
CO1-22-60625103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst