Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Lisa Marie Gibson-Pettibon, MSW

Individual provider Behavior Analyst · NPI 1750423059

MS. Lisa Marie Gibson-Pettibon, MSW is a Behavior Analyst in Indianapolis, Indiana. Works from 2 locations. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
3
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

5638 Professional Cir
Indianapolis, IN 46241-5042
Phone: (317) 247-8900
Fax: (317) 247-8935
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1106 N 155th St Ste B, Basehor, KS 66007-7100 — (913) 662-7071

Specialties & licences

Social Worker (primary) Taxonomy 104100000X
Behavior Analyst Taxonomy 103K00000X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1750423059
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW
Sole proprietorNo
NPI enumeratedFebruary 13, 2007
Last updated in NPPESSeptember 14, 2022
Certification dateSeptember 14, 2022

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