Individual
SHAMONIE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
60 YAREMICH DR APT 23, BRIDGEPORT, CT 06606-2587
(203) 275-6788
Mailing address
60 YAREMICH DR APT 23, BRIDGEPORT, CT 06606-2587
(203) 275-6788
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CT
Other
Enumeration date
11/21/2025
Last updated
11/21/2025
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