Jamie Gibson

Individual provider Active NPI Behavior Technician · Grain Valley, MO

NPI 1124944764 · NPPES record last updated Jun 27, 2026

Key facts

NPI
1124944764
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-26-508555 (MO)
Practice address
120 SW Garden St
Grain Valley, MO 64029-9548
Phone
(816) 265-1170
NPI assigned
Jun 27, 2026
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Cwo Enterprises Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-26-508555 MO Yes

Addresses

Primary practice location

120 SW Garden St
Grain Valley, MO 64029-9548

Mailing address

120 SW Garden St
Grain Valley, MO 64029-9548
Phone (816) 265-1170

Other providers in Grain Valley, MO

All providers in Grain Valley, MO · Behavior Technician in Missouri

Sources for this page

Verify at the official NPI Registry.