Individual
MRS. SASHA QUINN GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21600 NOVI RD STE 800, NOVI, MI 48375-5608
(248) 305-6172
Mailing address
43259 CITATION, NOVI, MI 48375-4134
(734) 307-8154
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/14/2018
Last updated
05/14/2018
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