Individual
BOBBI GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7990 W HOMOSASSA TRL STE 2, HOMOSASSA, FL 34448-2855
(352) 621-0502
(352) 621-0503
Mailing address
7990 W HOMOSASSA TRL STE 2, HOMOSASSA, FL 34448-2855
(352) 621-0502
(352) 621-0503
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-03-1296
FL
Other
Enumeration date
01/28/2010
Last updated
01/28/2010
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