Individual
KYLA GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 POLARIS PKWY STE 450, COLUMBUS, OH 43240-4064
(614) 423-9352
Mailing address
1771 SHANLEY DR APT 2, COLUMBUS, OH 43224-1256
(757) 323-3513
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB1367964
OH
Other
Enumeration date
11/05/2025
Last updated
11/05/2025
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