Individual
STACEY L GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1603 CAPITOL AVE STE 413C1005, CHEYENNE, WY 82001-4569
(307) 364-3181
(855) 892-0299
Mailing address
PO BOX 6250, AKRON, OH 44312-0250
(317) 732-8380
(855) 915-1521
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
25412099
—
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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