Individual
TIFFANY GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT/BCBA
Contact information
Practice address
3801 CONNECTICUT AVE NW STE 100, WASHINGTON, DC 20008-4530
(202) 525-1641
Mailing address
1816 MIDDLEVALE TER, SILVER SPRING, MD 20906-3349
(301) 664-0010
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12369013
DC
106S00000X
Behavior Technician
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
913580142
—
MD
Enumeration date
05/21/2018
Last updated
11/06/2023
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