Tara Gibson
NPI #1649958489 in New Smyrna Beach, Florida
Provider Information
- NPI Number
- 1649958489
- Entity Type
- Individual
- Name
- Tara Gibson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Jul 11, 2023
- Last Updated
- Jul 11, 2023
Practice Location
- Address
- 311 N ORANGE ST
- City
- New Smyrna Beach
- State
- Florida
- ZIP Code
- 32168-6733
- Phone
- (386) 402-4460
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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