IndividualActive
Alexander Gibson
NPI 1679360978 · Behavior Technician · Shelby Township, MI
Provider details
- NPI number
- 1679360978
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Practice location
50194 Schoenherr Rd
Shelby Township, MI 48315-3136
Phone: (586) 991-6596
Mailing address
50194 Schoenherr Rd
Shelby Township, MI 48315-3136
Registry dates
- Enumerated
- 2025-04-22
- Last updated
- 2025-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.