Individual
DALTON GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9900 GILMORE RIDGE RD, NASHVILLE, IN 47448-9731
(812) 322-0313
(812) 610-1814
Mailing address
9900 GILMORE RIDGE RD, NASHVILLE, IN 47448-9731
(812) 322-0313
(812) 610-1814
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-76940
IN
Other
Enumeration date
05/31/2019
Last updated
05/31/2019
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