Robert Gipson

NPI #1861999286 in Pace, Florida

Provider Information

NPI Number: 1861999286
Entity Type: Individual
Name: Robert Gipson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Apr 11, 2018
Last Updated: Apr 11, 2018

Practice Location

Address: 4000 HIGHWAY 90 STE B
City: Pace
State: Florida
ZIP Code: 32571-1909
Phone: (850) 723-6570

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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