Provider Demographics
NPI:1003580333
Name:HEBERT, GABRIELLE (MA, BCBA, LBA)
Entity Type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:
Last Name:HEBERT
Suffix:
Gender:F
Credentials:MA, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13139 LA 82
Mailing Address - Street 2:
Mailing Address - City:ABBEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70510-8309
Mailing Address - Country:US
Mailing Address - Phone:337-368-4578
Mailing Address - Fax:
Practice Address - Street 1:635 PETRO POINT DR STE C
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70607-7066
Practice Address - Country:US
Practice Address - Phone:337-284-5800
Practice Address - Fax:337-313-4558
Is Sole Proprietor?:No
Enumeration Date:2021-08-02
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst