Jerrica Jovan Nicole Gipson
Behavior Technician in Frisco, TX. Individual provider (NPI-1).
NPI number1104736008
StatusActive
Last updated in NPPESSep 11, 2026
Details
- NPI
- 1104736008
- Entity type
- Individual (NPI-1)
- Name
- Jerrica Jovan Nicole Gipson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 11, 2026
- Certification date
- Sep 11, 2026
- Last updated
- Sep 11, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-25-449872 | TX | Yes |
Practice location
6025 Sports Village RdFrisco, TX 75033-3505
Phone 214-687-9374
Mailing address
6025 Sports Village RdFrisco, TX 75033-3505
Phone 214-687-9374
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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