Individual
TIMOTHY GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3940 SCOTT ROBINSON BLVD, NORTH LAS VEGAS, NV 89032-7859
(702) 769-3045
Mailing address
3940 SCOTT ROBINSON BLVD, NORTH LAS VEGAS, NV 89032-7859
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/24/2013
Last updated
09/24/2013
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