Individual
CASANDRA L GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14126 COUNTY ROAD 428, NEWBERRY, MI 49868-7762
(906) 293-3284
Mailing address
PO BOX 114, NEWBERRY, MI 49868-0114
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106S00000X
MI
Other
Enumeration date
07/31/2026
Last updated
07/31/2026
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