Colleen Gibson

NPI #1215492269 in Cheyenne, Wyoming

Provider Information

NPI Number: 1215492269
Entity Type: Individual
Name: Colleen Gibson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 4, 2019
Last Updated: Feb 4, 2019

Practice Location

Address: 1704 WESTLAND RD
City: Cheyenne
State: Wyoming
ZIP Code: 82001-3322
Phone: (605) 271-2690

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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