Individual
BAILEY GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9439 DUGAS DR, SAN ANTONIO, TX 78245-1002
(210) 784-3690
Mailing address
9439 DUGAS DR, SAN ANTONIO, TX 78245-1002
(210) 784-3690
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-382512
TX
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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