Dacey Marie Gibson

NPI #1154052017 in Winchester, Indiana

Provider Information

NPI Number: 1154052017
Entity Type: Individual
Name: Dacey Marie Gibson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jun 22, 2022
Last Updated: Jun 22, 2022

Practice Location

Address: 108 S MERIDIAN ST
City: Winchester
State: Indiana
ZIP Code: 47394-1809
Phone: (720) 837-8495

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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