LISA JILLIAN GIBSON (NPI# 1598318370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598318370 |
Entity Type | Individual |
Full Name | LISA JILLIAN GIBSON |
Practice Address |
1708 W Hazel St Boise ID 83702-1021 |
Practice Telephone | 2088666852 |
Mailing Telephone | 2088666852 |
Enumeration Date | 2019-07-20 |
Last Update Date | 2019-07-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | ID | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ID | 19190006 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144696147 | Lisa Gibson | Counselor | 11966 County Road I, Pampa, TX 79065-1704 | 2015-08-13 |
1033541420 | Lisa Ann Gibson | Dietitian, Registered | 11 Quebrada, Irvine, CA 92620-1867 | 2013-08-07 |
1477868651 | Lisa Ann Gibson | Occupational Therapist | 1200 Barr St, Fort Wayne, IN 46802-3502 | 2010-08-12 |
1225294796 | Lisa Kay Gibson | Family Medicine | 201 Route 34 Bldg C-3, Colts Neck, NJ 07722-1902 | 2008-08-04 |
1881885788 | Lisa Tara Gibson | Counselor | 230 W Wells St Ste 214, Milwaukee, WI 53203-1866 | 2007-08-06 |
1700400587 | Lisa M Gibson | Social Worker | 2509 Research Blvd, Fort Collins, CO 80526-8108 | 2020-06-08 |
1538658695 | Lisa Gibson | Counselor | 14 Pacella Park Dr, Randolph, MA 02368-1756 | 2018-05-04 |
1922455195 | Lisa Renee Gibson | Counselor | 3809 Rosewood Dr, Columbia, SC 29205-3533 | 2016-05-18 |
1245565670 | Lisa Michelle Gibson | Physical Therapist | 1510 Seabright Ave, Santa Cruz, CA 95062-2529 | 2009-10-02 |
1467625632 | Lisa Camille Gibson | Registered Nurse | 722 Ne 162nd Ave, Albertina Kerr Center Youth & Family Services, Portland, OR 97024 | 2008-04-09 |
Street Address |
1708 W HAZEL ST |
City | BOISE |
State | ID |
Zip Code | 83702-1021 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790321966 | Inland Northwest Neuromonitoring Pllc | Psychiatry & Neurology | 950 Bannock Street, Suite 1100, Boise, ID 83702 | 2019-11-22 |
1508359084 | Emily Cook | Dietitian, Registered | St. Luke's Rehab Hospital, 600 N Robbins Road, Bosie, ID 83702 | 2018-06-11 |
1265925887 | Marla Braendle | Dietitian, Registered | St. Luke's Rehabilitation Hospital, 600 N. Robbins Road, Boise, ID 83702 | 2018-06-08 |
1114419678 | Sidrah Khan Psychotherapy PC | Social Worker | 242 N 8th St, Suite 200, Boise, ID 83702 | 2018-05-31 |
1508386707 | Emp Idaho Nampa, LLC | General Acute Care Hospital | 350 E Myrtle Street, Suite 100, Boise, ID 83702 | 2017-06-20 |
1194264077 | Karen Mangum | Dietitian, Registered | 115 N. Main Street, Suite #203, Boise, ID 83702 | 2017-02-13 |
1750828422 | Stephen Pyper | Massage Therapist | 14089 Main St #100, Boise, ID 83702 | 2017-01-19 |
1427504398 | The Young Mens Christian Association of Boise City Idaho | Health Educator | 419 N 11th St, Boise, ID 83702 | 2016-08-30 |
1942756838 | Brent Hiroshi Sasaki | Pharmacist | 500 West Fort Street (119), Boise, ID 83702 | 2016-08-30 |
1578912051 | Marnae Walker | Counselor | 509 S. 14th St, Suite 2, Boise, ID 83702 | 2016-06-06 |
Find all providers in zip 83702 |
Taxonomy Code | 106E00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Assistant Behavior Analyst |
An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306499439 | April D Johnson-beery | Assistant Behavior Analyst | 8130 W Brynwood Dr, Boise, ID 83704-3104 | 2019-07-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235789769 | Sarah Layman | Assistant Behavior Analyst | 2650 N Nugget Ln, Post Falls, ID 83854-8486 | 2019-09-17 |
1740835834 | Crt Children Services LLC | Assistant Behavior Analyst | 111 N Washington St Ste 12, Moscow, ID 83843-2884 | 2019-08-06 |
1982258034 | Kierra E Regalado | Assistant Behavior Analyst | 12427 S Sunrise Mist Loop, Nampa, ID 83686-5463 | 2019-07-26 |
1548811904 | Stanley Keith Wacholz | Assistant Behavior Analyst | 5723 E Dodd Rd, Hayden Lake, ID 83835-9376 | 2019-09-26 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.