Gibson, Leisa Monique

Gibson, Leisa Monique is an sole proprietor health care provider with primary practice located at 6505 Plunkett St , Hollywood FL 33023-1760. 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, Leisa Monique can be contacted via phone (954) 404-4872.

Contact Information

Primary practice address
6505 Plunkett St Hollywood FL 33023-1760
Phone: (954) 404-4872
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Florida

Profile Details

NPI number 1497260095
LBN Legal business name Gibson, Leisa Monique
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2017
Last updated Dec 6th, 2017 - 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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