IndividualActive
Amy Gibson
NPI 1780117614 · Behavior Technician · Saint Augustine, FL
Provider details
- NPI number
- 1780117614
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
2101 Arc Dr
Saint Augustine, FL 32084-0512
Phone: (904) 824-7249
Approximate (ZIP-level) locationGet directions
Mailing address
2101 Arc Dr
Saint Augustine, FL 32084-0512
Registry dates
- Enumerated
- 2017-04-07
- Last updated
- 2017-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.