Provider Demographics
NPI:1861634396
Name:TORRES, GABRIELLE TRAPENBERG (MA, BCBA, LBA)
Entity Type:Individual
Prefix:MRS
First Name:GABRIELLE
Middle Name:TRAPENBERG
Last Name:TORRES
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 1:6180 GROVEDALE CT STE 200
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22310-2552
Mailing Address - Country:US
Mailing Address - Phone:866-380-3419
Mailing Address - Fax:866-380-9125
Practice Address - Street 1:6180 GROVEDALE CT STE 200
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22310-2552
Practice Address - Country:US
Practice Address - Phone:866-380-3419
Practice Address - Fax:866-380-9125
Is Sole Proprietor?:No
Enumeration Date:2009-03-30
Last Update Date:2016-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA600979839Medicaid