Gibson, Tara

Gibson, Tara is an sole proprietor health care provider with primary practice located at 311 N Orange St , New Smyrna Beach FL 32168-6733. 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, Tara can be contacted via phone (386) 402-4460.

Contact Information

Primary practice address
311 N Orange St New Smyrna Beach FL 32168-6733
Phone: (386) 402-4460
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1649958489
LBN Legal business name Gibson, Tara
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2023
Last updated Jul 11th, 2023 - about 3 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.

Request for update

Popular Providers