Individual
CHRISTOPHER MENA-GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, BCBA
Contact information
Practice address
12448 SW 127TH AVE FL 2, MIAMI, FL 33186-6596
(786) 953-8500
Mailing address
15431 SW 47TH ST, MIAMI, FL 33185-4493
(786) 202-8955
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-67252
FL
Other
Enumeration date
02/18/2019
Last updated
10/01/2023
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