Individual
MRS. DANIELLE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1110 13TH ST STE D, COLUMBUS, GA 31901-2246
(888) 963-2228
Mailing address
2501 SAMUEL LN, OPELIKA, AL 36801-3448
(404) 424-3867
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-490787
AL
Other
Enumeration date
11/24/2025
Last updated
11/24/2025
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