MEDICARE: HANNAH JANAI GIBSON

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
1	106S00000X	Behavior Technician	RBT-23-293426	IN

General Provider Information

NPI Number	:	1952249625
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH JANAI GIBSON

Provider Business Mailing Address
First Line	:	724 N DIXON RD
Second Line	:
City	:	KOKOMO
State	:	IN
Zip	:	46901-1700
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2701 ALBRIGHT RD
Second Line	:
City	:	KOKOMO
State	:	IN
Zip	:	46902-3996
Country	:	US
Telephone Number	:	765-438-8515
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2026
Last Update Date	:	03/24/2026

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Directions to “ HANNAH JANAI GIBSON ” Practice Location

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