Courtney Gibbons

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-36458 Issued in CA

Practice address

2342 Professional Pkwy Ste 300
Santa Maria, CA 93455-6819

Phone

(805) 979-9941

NPI assigned

Jan 4, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1515024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1447767033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 S BROADWAY",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934546608",
            "telephone_number": "805-979-9941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2342 PROFESSIONAL PKWY STE 300",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934556819",
            "telephone_number": "805-979-9941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBONS",
        "first_name": "COURTNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-04",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-19-36458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wardie Ghali
• Adjoa Buabema Ghansah
• Melissa Cynthia Ghrist
• Giant Sequoia Healthcare Inc.
• Ashley Gibbons
• Donna R Gibbs-Gaffko, RPH
• Erika Gibson, M.D.
• Skye Gibson
• Irebid Gilbert
• Robert Gilden

• Behavior Analyst in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.