LISA JILLIAN GIBSON


Address: 1708 W Hazel St, Boise, ID 83702-1021
Phone: 2088666852

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106E00000X Assistant Behavior Analyst ID Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
ID 19190006 05

Other Providers LISA GIBSON

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

Office Location

Street Address 1708 W HAZEL ST
City BOISE
State ID
Zip Code 83702-1021

Providers in the same zip code

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 Information

Taxonomy Code 106E00000X
Grouping Behavioral Health & Social Service Providers
Classification Assistant Behavior Analyst

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306499439 April D Johnson-beery Assistant Behavior Analyst 8130 W Brynwood Dr, Boise, ID 83704-3104 2019-07-17

Providers in the same taxonomy and state

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

Competitor

Search similar providers

City BOISE
Zip Code 83702

Improve Information

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Dataset Information

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.

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