Provider Demographics
NPI:1528532033
Name:GEHRING, ABIGAIL (BCBA,BCABA,LBA, LABA)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:GEHRING
Suffix:
Gender:F
Credentials:BCBA,BCABA,LBA, LABA
Other - Prefix:
Other - First Name:ABIGAIL
Other - Middle Name:
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RBT,CBT
Mailing Address - Street 1:965 BURTON RAY ST NE
Mailing Address - Street 2:
Mailing Address - City:LACEY
Mailing Address - State:WA
Mailing Address - Zip Code:98516-7603
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1415 HARRISON AVE NW STE 102
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98502-5359
Practice Address - Country:US
Practice Address - Phone:360-605-0163
Practice Address - Fax:855-959-2451
Is Sole Proprietor?:No
Enumeration Date:2019-01-17
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA02112249106E00000X
GARBT-18-72291106S00000X
WA1-24-71014103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician