Hailey Nicole Gibson

NPI #1457171910 in Troy, Illinois

Provider Information

NPI Number: 1457171910
Entity Type: Individual
Name: Hailey Nicole Gibson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 10, 2024
Last Updated: Oct 10, 2024

Practice Location

Address: 411 EDWARDSVILLE RD
City: Troy
State: Illinois
ZIP Code: 62294-1339
Phone: (314) 275-0506

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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