Individual
PATRICIA GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5151 BONNEY RD, SUITE 107, VIRGINIA BEACH, VA 23462-4384
(757) 222-1315
Mailing address
66 GLENHAVEN DR, HAMPTON, VA 23664-1850
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0134000185
VA
Other
Enumeration date
04/23/2017
Last updated
04/23/2017
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