Tejanique Gibbs

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

601 S Lake Destiny Rd Ste 350
Maitland, FL 32751-7222

Phone

(407) 647-6555

NPI assigned

May 27, 2025

Last updated

May 27, 2025By the provider in NPPES

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

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

{
    "created_epoch": "1748304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1578356259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12113 DESSAU RD APT 12304",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787542208",
            "telephone_number": "512-975-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S LAKE DESTINY RD STE 350",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517222",
            "telephone_number": "407-647-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "TEJANIQUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-27",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juliette Selma Gervais, MD
• Jay D. Gewolb, MD
• Rhonnie Geyrozaga, CRNA
• Nikkida Shiree Ghent, FNP
• Shanchita Ghosh, M.D.
• Jared Gibby, DMD
• Hinano Sophia Gibson
• Kathleen Gibson, PA-C
• Victoria Gibson
• Bianca Gifford

• Behavior Technician in Maitland, FL
• Providers in Maitland, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; 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.