Active NPI
Christine Gibson, MS, BCBA
- Behavior Analyst
- Mansfield, TX
National Provider Identifier
1700128352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-13-13070
- Practice address
- 1751 Towne Crossing Blvd
Mansfield, TX 76063-3913 - Phone
- (972) 948-6684
- Fax
- (817) 665-0878
- NPI assigned
- Mar 21, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-13-13070 | TX | Primary |
Addresses
Primary practice location
1751 Towne Crossing Blvd
Mansfield, TX 76063-3913
Mailing address
1424 Hemphill St
Fort Worth, TX 76104-4703
Phone (817) 759-7935
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363824000000",
"number": "1700128352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1424 HEMPHILL ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044703",
"telephone_number": "817-759-7935",
"fax_number": "817-665-0878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1751 TOWNE CROSSING BLVD",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760633913",
"telephone_number": "972-948-6684",
"fax_number": "817-665-0878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "CHRISTINE",
"credential": "MS, BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-21",
"last_updated": "2013-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "1-13-13070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.