Tara Gibson
Tara Gibson is a Behavior Technician in New Smyrna Beach, Florida. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
311 N Orange StNew Smyrna Beach, FL 32168-6733
Phone: (386) 402-4460
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1649958489 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 11, 2023 |
| Last updated in NPPES | July 11, 2023 |
| Certification date | July 11, 2023 |
| Mailing address | 311 N Orange St, New Smyrna Beach, FL 32168-6733 |
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