Individual
PAMELA GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2036 N WANAMAKER ST, PHILADELPHIA, PA 19131-3021
(215) 837-3544
Mailing address
833 N PARK RD STE 200, WYOMISSING, PA 19610-1341
(610) 670-8800
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH002973
PA
Other
Enumeration date
04/13/2023
Last updated
04/13/2023
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