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NPI Code Detail

MEDICARE: JENNIFER GILBERT BCBA

MEDICARE: JENNIFER GILBERT BCBA
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
1103K00000XBehavior AnalystKS

General Provider Information

NPI Number : 1124416458
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER GILBERT BCBA
Provider Business Mailing Address
First Line : 904 MOUNTAIN LION CIR STE 500
Second Line :
City : HARKER HEIGHTS
State : TX
Zip : 76548-5725
Country : US
Telephone Number : 254-213-1924
Fax Number :
Provider Business Practice Location Address
First Line : 904 MOUNTAIN LION CIR STE 500
Second Line :
City : HARKER HEIGHTS
State : TX
Zip : 76548-5725
Country : US
Telephone Number : 254-213-1924
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2015
Last Update Date : 01/09/2015

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Directions to “ JENNIFER GILBERT BCBA” Practice Location

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