MRS. Samantha L Gibson
NPI #1447719323 in Portales, New Mexico
Provider Information
- NPI Number
- 1447719323
- Entity Type
- Individual
- Name
- MRS. Samantha L Gibson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Mar 19, 2019
- Last Updated
- Mar 19, 2019
Practice Location
- Address
- 2108 MOCKINGBIRD LN
- City
- Portales
- State
- New Mexico
- ZIP Code
- 88130-7195
- Phone
- (865) 242-9722
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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