Individual
CRYSTAL GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, MA
Contact information
Practice address
2940 N CHURCH ST STE 204, LAYTON, UT 84040-6616
(801) 935-4171
(801) 935-4946
Mailing address
126 E 1ST AVE APT 4, SALT LAKE CITY, UT 84103-5939
(801) 910-0625
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/26/2016
Last updated
09/11/2020
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