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General NPI Number Information
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NPI Number | 1174482178
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Entity Type | Individual
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Provider Name | PATSY GIBBS MS, BCBA
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Gender | Female
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Dates
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Enumeration Date | 01/16/2026
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 180 N UNIVERSITY AVE STE 270
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City | PROVO
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State | UT
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Zip | 84601-5648
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Country | US
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Telephone | 801-473-8688
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Fax |
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Provider Business Mailing Address
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Address Line | 180 N UNIVERSITY AVE STE 270
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City | PROVO
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State | UT
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Zip | 84601-5648
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Country | US
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Telephone | 801-833-0884
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Fax | 801-605-1819
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 13452996-2506
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License Number State | UT
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