NPI 1598318370

Lisa Jillian Gibson

Practitioner Assistant Behavior Analyst Boise, ID

Practice location

Address: 1708 W Hazel St, Boise, ID 83702-1021
Phone: (208) 866-6852

Registered specialties

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X

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Registry record

NPI: 1598318370
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Jul 2019
Record last updated: 20 Jul 2019

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.