Medley, Kizzy Gibbs

Medley, Kizzy Gibbs is an individual health care provider with primary practice located at 126 Pavilion Pkwy , Fayetteville GA 30214-4056. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Medley, Kizzy Gibbs can be contacted via phone (770) 954-8988.

Contact Information

Primary practice address
126 Pavilion Pkwy Fayetteville GA 30214-4056
Phone: (770) 954-8988
Fax: (317) 520-8200
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-20-131469 Georgia

Profile Details

NPI number 1619584901
LBN Legal business name Medley, Kizzy Gibbs
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2020
Last updated Sep 30th, 2020 - about 6 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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