Dacey Marie Gibson
Individual provider Active NPI Behavior Technician · Winchester, IN
NPI 1154052017 · NPPES record last updated Jun 22, 2022
Key facts
- NPI
- 1154052017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 108 S Meridian St
Winchester, IN 47394-1809 - Phone
- (720) 837-8495
- NPI assigned
- Jun 22, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
108 S Meridian St
Winchester, IN 47394-1809
Mailing address
108 S Meridian St
Winchester, IN 47394-1809
Other providers in Winchester, IN
- Galen Inpatient Physicians PC
- Earl Braden Gard
- Holly Ann Garringer
- Misty Gerber
- Ronald K Gibb
- Greg Robert Gobrecht
- Kristen Lea Grilliot
- David Brian Gudkese
- Brady Hall
- Betty Jane Hancock
All providers in Winchester, IN · Behavior Technician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.