Provider Demographics
NPI:1578143079
Name:DEMBY, GABRIELLE (BCBA, LBA)
Entity Type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:
Last Name:DEMBY
Suffix:
Gender:F
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:GABRIELLE
Other - Middle Name:
Other - Last Name:PIETTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:800 W WILLIS RD APT 2008
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85286-6531
Mailing Address - Country:US
Mailing Address - Phone:920-819-0853
Mailing Address - Fax:
Practice Address - Street 1:1519 S HIGLEY RD
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85296-4793
Practice Address - Country:US
Practice Address - Phone:480-297-0894
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-09
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZBEH-000676103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst