Individual
KYLIE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9601 BUSTLETON AVE, PHILADELPHIA, PA 19115-3810
(215) 445-1659
Mailing address
9601 BUSTLETON AVE, PHILADELPHIA, PA 19115-3810
(215) 445-1659
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH008119
PA
Other
Enumeration date
11/13/2025
Last updated
11/13/2025
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