Provider Demographics
NPI:1538774682
Name:LOWTHER, GABRIELLE VIOLETTE CARBERRY (BCBA)
Entity type:Individual
Prefix:MRS
First Name:GABRIELLE
Middle Name:VIOLETTE CARBERRY
Last Name:LOWTHER
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 1:12 OAKDALE AVE
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03062-2553
Mailing Address - Country:US
Mailing Address - Phone:603-718-4865
Mailing Address - Fax:
Practice Address - Street 1:510 CHESTNUT ST FL 2
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03101-1412
Practice Address - Country:US
Practice Address - Phone:603-664-4411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-14
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst