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NPI Code Detail

MEDICARE: NIA SIMONE GIBSON RBT

MEDICARE: NIA SIMONE GIBSON RBT
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 TechnicianRBT-24-353321TX

General Provider Information

NPI Number : 1932909785
Entity Type Code : Individual
Provider Name (Legal Business Name) : NIA SIMONE GIBSON RBT
Provider Business Mailing Address
First Line : 18108 S PARKVIEW DR APT M14
Second Line :
City : HOUSTON
State : TX
Zip : 77084-6591
Country : US
Telephone Number : 281-414-2166
Fax Number :
Provider Business Practice Location Address
First Line : 12110 HUFFMEISTER RD
Second Line :
City : CYPRESS
State : TX
Zip : 77429-3254
Country : US
Telephone Number : 281-886-7189
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2025
Last Update Date : 03/18/2025

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Directions to “ NIA SIMONE GIBSON RBT” Practice Location

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