Individual
KYLE GEIBIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
119 WALNUT ST, JOHNSTOWN, PA 15901-1625
(814) 534-0745
Mailing address
119 WALNUT ST, JOHNSTOWN, PA 15901-1625
(814) 534-0745
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/19/2021
Last updated
08/25/2022
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