| Gibson Interventions, Llc | |
|
217 Linda Ln Bowling Green KY 42101-8035 | |
| (304) 690-6428 | |
| Not Available |
| Full Name | Gibson Interventions, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 217 Linda Ln, Bowling Green, Kentucky |
| Authorized Official Name and Position | Nicole Lynn Gibson (OWNER) |
| Authorized Official Contact | 3046906428 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gibson Interventions, Llc 529 Countrywood Pl Bowling Green KY 42101-6500 Ph: (304) 690-6428 | Gibson Interventions, Llc 217 Linda Ln Bowling Green KY 42101-8035 Ph: (304) 690-6428 |
| NPI Number | 1346098209 |
|---|---|
| Provider Enumeration Date | 05/07/2024 |
| Last Update Date | 05/07/2024 |
| Certification Date | 05/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346098209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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