NPI 1003628272
Gabrielle Gustafson
Practice location
- Address
- 5305 Spine Rd STE a, Boulder, CO 80301-3331
- Phone
- (720) 643-2350
- Mailing address
- 996 Royal Marco Way, Marco Island, FL 34145-1829
Registered specialties
Behavior Technician
Primary
Registry record
- NPI
- 1003628272
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 23 Jan 2025
- Record last updated
- 23 Jan 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.