Gibson, Tiffany

Gibson, Tiffany is an individual health care provider with primary practice located at 3801 Connecticut Ave Nw Ste 100 , Washington DC 20008-4530. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Gibson, Tiffany can be contacted via phone (202) 525-1641.

Contact Information

Primary practice address
3801 Connecticut Ave Nw Ste 100 Washington DC 20008-4530
Phone: (202) 525-1641
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Maryland
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 12369013 District of Columbia

Profile Details

NPI number 1598256059
LBN Legal business name Gibson, Tiffany
Credentials RBT/BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2018
Last updated Nov 6th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598256059 NPPES
Maryland MEDICAID 913580142

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