Individual provider Active NPI

Debbie Gabriel, BCABA

  • Behavior Analyst
  • Lindale, TX
National Provider Identifier
1033628375
Registry record updated Jul 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0-02-0458 Issued in TX
Practice address
23360 Bridle View Dr
Lindale, TX 75771-5511
Phone
(843) 283-2783
NPI assigned
Sep 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 0-02-0458 TX Primary

Addresses

Primary practice location

23360 Bridle View Dr
Lindale, TX 75771-5511

Mailing address

23360 Bridle View Dr
Lindale, TX 75771-5511
Phone (843) 283-2783

Other identifiers 1

IdentifierTypeStateIssuer
0-02-0458OtherTXBACB

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Lindale

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1033628375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23360 BRIDLE VIEW DR",
            "city": "LINDALE",
            "state": "TX",
            "postal_code": "757715511",
            "telephone_number": "843-283-2783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23360 BRIDLE VIEW DR",
            "city": "LINDALE",
            "state": "TX",
            "postal_code": "757715511",
            "telephone_number": "843-283-2783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABRIEL",
        "first_name": "DEBBIE",
        "credential": "BCABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "0-02-0458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "0-02-0458",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Lindale",
            "affiliation": "N",
            "address_1": "23360 Bridle View Dr",
            "city": "Lindale",
            "state": "TX",
            "country_code": "US",
            "postal_code": "757715511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lindale, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.