Brooke Gibson
NPI #1275296212 in Johnson City, Tennessee
Provider Information
- NPI Number
- 1275296212
- Entity Type
- Individual
- Name
- Brooke Gibson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Oct 18, 2021
- Last Updated
- Oct 18, 2021
Practice Location
- Address
- 321 W WALNUT ST STE 2
- City
- Johnson City
- State
- Tennessee
- ZIP Code
- 37604-6774
- Phone
- (423) 202-3622
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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