Individual
EMILY GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHS-B
Contact information
Practice address
511 N BROADWAY ST UNIT 4107, LEBANON, OH 45036-3702
(513) 519-9181
Mailing address
511 N BROADWAY ST UNIT 4107, LEBANON, OH 45036-3702
(513) 519-9181
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/22/2024
Last updated
08/07/2026
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