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:
Health care specialties
Specialty | Code | License # | 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 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1598256059 | NPPES |
Maryland | MEDICAID | 913580142 |
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