Samuel Gibson
Samuel Gibson is a Behavior Technician in Provo, Utah. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
585 Lakeview Pkwy Bdlg 6Provo, UT 84606
Phone: (801) 935-4171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1386446763 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 26, 2025 |
| Last updated in NPPES | March 26, 2025 |
| Certification date | March 24, 2025 |
| Mailing address | 16255 Ventura Blvd Ste 830, Encino, CA 91436-2317 |
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