Individual
MOLLIE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QASP
Contact information
Practice address
10175 FORTUNE PKWY, SUITE 903, JACKSONVILLE, FL 32256-6746
(904) 538-0713
Mailing address
6816 SOUTHPOINT PKWY, BLDG 500, JACKSONVILLE, FL 32216-1700
(904) 538-0713
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
8538
FL
Other
Enumeration date
04/11/2017
Last updated
04/11/2017
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