Individual
KRISTEN MAE SWEET GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3662 CEDARCREST RD STE 220, ACWORTH, GA 30101-8940
(470) 531-0510
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-62976
GA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/25/2020
Last updated
12/08/2022
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