Dalton Gibbs

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-19-76940 Issued in IN

Practice address

9900 Gilmore Ridge Rd
Nashville, IN 47448-9731

Phone

(812) 322-0313

Fax

(812) 610-1814

NPI assigned

May 31, 2019

Last updated

May 31, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

State licenses

Practice roles

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

• Supportive Community Innovations

  • Behavior Analyst
  • Nashville, IN
  • NPI 1902265267
  NPD (past)

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1649838046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 GILMORE RIDGE RD",
            "city": "NASHVILLE",
            "state": "IN",
            "postal_code": "474489731",
            "telephone_number": "812-322-0313",
            "fax_number": "812-610-1814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 GILMORE RIDGE RD",
            "city": "NASHVILLE",
            "state": "IN",
            "postal_code": "474489731",
            "telephone_number": "812-322-0313",
            "fax_number": "812-610-1814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "DALTON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-31",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IN",
            "license": "RBT-19-76940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Frances Foley, MSW, LCSW, ACSW
• Kelly M Freeland
• Marin Garcia, MD
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• David J Gerchak, O.D.
• Angela N Goeppner, FNP-C
• Gootee Vision Center, LLC (Brown County Eye Care)
• Wendi Gore, LCSW
• Kourteney Grimes
• Teresa A Harden, MSN, NP

• Behavior Technician in Nashville, IN
• Providers in Nashville, IN by specialty
• Behavior Technician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.