Individual
SALOME GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3025 W 32ND ST, APT 12C, BROOKLYN, NY 11224-1746
(718) 877-9133
Mailing address
3025 W 32ND ST, APT 12C, BROOKLYN, NY 11224
(718) 877-9133
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
770353131
NY
174H00000X
Health Educator
770353131
NY
390200000X
Student in an Organized Health Care Education/Training Program
770353131
NY
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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