Individual
KYRA BREE GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1165 CAMP JOE HARRIS RD, NORTH WILKESBORO, NC 28659-9153
(336) 566-8714
Mailing address
1165 CAMP JOE HARRIS RD, NORTH WILKESBORO, NC 28659-9153
(336) 566-8714
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
247200000X
NC
Other
Enumeration date
12/29/2023
Last updated
12/29/2023
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