IndividualActive
Alyssa Gibson
NPI 1245991702 · Behavior Technician · Coeur D Alene, ID
Provider details
- NPI number
- 1245991702
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
7905 N Meadowlark Way Ste D
Coeur D Alene, ID 83815-5041
Phone: (208) 618-2593
Approximate (ZIP-level) locationGet directions
Mailing address
278 Outback Loop
Spirit Lake, ID 83869-8600
Registry dates
- Enumerated
- 2022-01-06
- Last updated
- 2022-01-06
- Certified
- 2022-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.