Provider Demographics
NPI:1104128933
Name:ABEL, GINA M (MS, BCBA)
Entity type:Individual
Prefix:MRS
First Name:GINA
Middle Name:M
Last Name:ABEL
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 GREELEY CIR
Mailing Address - Street 2:
Mailing Address - City:LIVERPOOL
Mailing Address - State:NY
Mailing Address - Zip Code:13090-3118
Mailing Address - Country:US
Mailing Address - Phone:315-451-2904
Mailing Address - Fax:
Practice Address - Street 1:105 GREELEY CIR
Practice Address - Street 2:
Practice Address - City:LIVERPOOL
Practice Address - State:NY
Practice Address - Zip Code:13090-3118
Practice Address - Country:US
Practice Address - Phone:315-451-2904
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-30
Last Update Date:2010-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst