Lisa Jillian Gibson

NPI #1598318370 in Boise, Idaho

Provider Information

NPI Number: 1598318370
Entity Type: Individual
Name: Lisa Jillian Gibson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Assistant Behavior Analyst
Enumeration Date: Jul 20, 2019
Last Updated: Jul 20, 2019

Practice Location

Address: 1708 W HAZEL ST
City: Boise
State: Idaho
ZIP Code: 83702-1021
Phone: (208) 866-6852

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assistant Behavior Analyst	106E00000X	Primary

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