Kameren Yanice Gibson

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

BACB1357247 Issued in NC

Practice address

606 E Davis St
Burlington, NC 27215-5922

Phone

(336) 513-8550

NPI assigned

Aug 15, 2025

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

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 and National Provider Directory roles.

• Comprehab LLC

  • Physical Therapist
  • Gastonia, NC
  • NPI 1407932775

  Behavior Technician

  NPD (past)
• Complete Rehabilitation and Sports Physical Therapy, PC

  • Physical Therapist
  • Ronkonkoma, NY
  • NPI 1811097306
  NPD (past)

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

{
    "created_epoch": "1755216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1992681696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3713 MORRIS FARM DR APT B",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274098987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 E DAVIS ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155922",
            "telephone_number": "336-513-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "KAMEREN",
        "middle_name": "YANICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-15",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NC",
            "license": "BACB1357247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genesis Residential Care Center, LLC
• Genoa Healthcare LLC
• Gerald W. Hargis DDS PA
• Holly Marie Gerber, PLCSW
• Jill Michelle Gerringer, PT
• Clyde Calvin Gilbert, CRNA
• Richard Leslie Gilbert Jr., MD
• Monica Giovan, LPCA
• Robert Glen Gittin, M.D.
• Glen Raven Pharmacy, Inc

• Behavior Technician in Burlington, NC
• Providers in Burlington, NC by specialty
• Behavior Technician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.