Stacey L Gibbs

NPI #1144027012 in Cheyenne, Wyoming

Provider Information

NPI Number: 1144027012
Entity Type: Individual
Name: Stacey L Gibbs
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 27, 2025
Last Updated: Feb 27, 2025

Practice Location

Address: 1603 CAPITOL AVE STE 413C1005
City: Cheyenne
State: Wyoming
ZIP Code: 82001-4569
Phone: (307) 364-3181

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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