Gibson, Miranda

Gibson, Miranda is an individual health care provider with primary practice located at 2846 N Garland Ave , Fayetteville AR 72704-2164. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Gibson, Miranda can be contacted via phone (479) 439-6906.

Contact Information

Primary practice address
2846 N Garland Ave Fayetteville AR 72704-2164
Phone: (479) 439-6906
Fax: (833) 645-0881
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-21-48992 Arkansas

Profile Details

NPI number 1609458876
LBN Legal business name Gibson, Miranda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2021
Last updated Apr 26th, 2021 - about 4 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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