SAMUEL GIBSON

PROVO, UT
NPI1386446763
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2025-03-26
Last Update Date2025-03-26
Business Address
SAMUEL GIBSON
585 LAKEVIEW PKWY BDLG 6
PROVO, UT 84606
Phone number: 801-935-4171
Mailing Address
SAMUEL GIBSON
16255 VENTURA BLVD STE 830
ENCINO, CA 91436-2317
Phone number: