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Individual

MISTY GILBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
5307 AIRPORT BLVD STE C, AUSTIN, TX 78751-2258
(512) 561-1240
Mailing address
3607 SOUTH LAMAR BLVD., APT. 1354, AUSTIN, TX 78704-0391
(620) 490-0262

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-44948
TX
247200000X
Other Technician
RBT-17-31437
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RBT-17-31437
BACB
TX
Enumeration date
08/30/2018
Last updated
10/06/2020
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