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NPI Code Detail

MEDICARE: DUSTIN GIPSON

MEDICARE: DUSTIN GIPSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1215889522
Entity Type Code : Individual
Provider Name (Legal Business Name) : DUSTIN GIPSON
Provider Business Mailing Address
First Line : 18600 E 37TH TER S
Second Line :
City : INDEPENDENCE
State : MO
Zip : 64057-1707
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 901 N 8TH ST
Second Line :
City : KANSAS CITY
State : KS
Zip : 66101-2706
Country : US
Telephone Number : 816-350-0125
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2026
Last Update Date : 02/10/2026

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Directions to “ DUSTIN GIPSON ” Practice Location

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