Gibson, Tierra L
Gibson, Tierra L is an individual health care provider with primary practice located at 6131 N Clinton St , Fort Wayne IN 46825-4905. 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, Tierra L can be contacted via phone (260) 459-6040.Contact Information
Primary practice address
6131 N Clinton St
Fort Wayne IN 46825-4905
Phone: (260) 459-6040
Fax: (260) 459-6010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1891332185 |
|---|---|
| LBN Legal business name | Gibson, Tierra L |
| Credentials | RBT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2019 |
| Last updated | Dec 5th, 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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