Individual
DOROTHY GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
220 GREAT CIRCLE RD STE 124, NASHVILLE, TN 37228-1705
(615) 331-1141
Mailing address
8454B WRIGHT ST, FORT CAMPBELL, KY 42223-3843
(567) 868-2031
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/06/2018
Last updated
04/06/2018
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