Individual
CHRISTINE GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
1751 TOWNE CROSSING BLVD, MANSFIELD, TX 76063-3913
(972) 948-6684
(817) 665-0878
Mailing address
1424 HEMPHILL ST, FORT WORTH, TX 76104-4703
(817) 759-7935
(817) 665-0878
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-13070
TX
Other
Enumeration date
03/21/2013
Last updated
03/21/2013
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