Gibson, Jalisa
Gibson, Jalisa is an individual health care provider with primary practice located at 925 Conference Dr , Greenville NC 27858-5971. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Gibson, Jalisa can be contacted via phone (252) 689-6645.Contact Information
Primary practice address
925 Conference Dr
Greenville NC 27858-5971
Phone: (252) 689-6645
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1699324277 |
|---|---|
| LBN Legal business name | Gibson, Jalisa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 6th, 2019 |
| Last updated | Sep 6th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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