Individual
LALANAI C GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
131 ELDEN ST STE 302, HERNDON, VA 20170-4851
(703) 496-4371
Mailing address
13900 HEDGEWOOD DR APT 403, WOODBRIDGE, VA 22193-5982
(240) 606-7339
(240) 606-7339
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-26-535559
VA
Other
Enumeration date
05/22/2026
Last updated
05/22/2026
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