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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. SAMANTHA L GIBSON

Active

MRS. SAMANTHA L GIBSON is a Behavior Technician healthcare provider located in PORTALES, New Mexico. NPI 1447719323 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · PORTALES, NM

Registration Details

NPI Number
1447719323
Provider Type
Individual
Gender
Female
NPI Issued
Mar 19, 2019 (7.3758467800991 yrs)
Last Updated
Mar 19, 2019

Practice Information

Address
2108 MOCKINGBIRD LN
PORTALES, NM, 881307195
Browse NM providers · Browse ZIP 88130
Phone
8652429722
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in PORTALES, NM

Name Credential NPI
SHEA MAHAN B.S. 1770008500
MRS. TRACEY LA DAWN BULLOCK RBT 1265948038
TYRA HARDIN 1528551157
JESSICA DIANNE TERRY 1285103218
MRS. AUBREY ROSE COURTNEY 1245877604
AUTUMN REYNOLDS 1477193076
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.