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Individual

ASHLEY TAYLOR GIBBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5410 194TH AVE SE, ISSAQUAH, WA 98027-8626
(425) 375-7665
Mailing address
1605 W JAMES LN APT 2I01, KENT, WA 98032-4351
(425) 478-6622

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
AB61608372
WA
106S00000X
Behavior Technician
CB61281154
WA

Other

Enumeration date
05/06/2022
Last updated
10/09/2024
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