Sherella Gibbs, M.ED., LBS

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BH005486 Issued in PA

Practice address

1050 Edgemore Rd
Philadelphia, PA 19151-3008

Phone

(267) 471-7069

NPI assigned

Nov 17, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1114684867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 E CITY AVE # 1551",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190042421",
            "telephone_number": "267-374-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 EDGEMORE RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191513008",
            "telephone_number": "267-471-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "SHERELLA",
        "credential": "M.ED., LBS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-17",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH005486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Denise Gibbs, MSW, LCSW
• Candice Marie Gibbs, RN
• Kathleen A Gibbs, M.D.
• Ricardo Gibbs, MA
• Robin Marie Gibbs, CRNP
• Diane Gibfried, MSS, LSW
• Jennifer Nicole Gibney, CRNP
• Maureen Gibney, PSYD
• Sandra McGowan Gibney, M.D
• Emmanuel Franck Dominique Gibon, MD, PHD

• Behavior Analyst in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Behavior Analyst in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.