NPI 1053103739
Theresa Gibison
Practice location
- Address
- 4023 Kennett Pike # 988, Wilmington, DE 19807-2018
- Phone
- (484) 577-9928
- Mailing address
- 5535 Judith Rd, Clayton, DE 19938-2836
Registered specialties
Behavior Technician
Primary
Registry record
- NPI
- 1053103739
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 20 May 2025
- Record last updated
- 20 May 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.