Samantha Lynn Gibson

NPI #1841769932 in North Saint Paul, Minnesota

Provider Information

NPI Number: 1841769932
Entity Type: Individual
Name: Samantha Lynn Gibson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Nov 19, 2018
Last Updated: Nov 19, 2018

Practice Location

Address: 2344 HELEN ST N
City: North Saint Paul
State: Minnesota
ZIP Code: 55109-2942
Phone: (651) 773-5988

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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