Nicole Lynn Gibson, BCBA
Behavior Analyst in Bowling Green, KY. Individual provider (NPI-1).
NPI number1629664446
StatusActive
Last updated in NPPESMay 7, 2024
Details
- NPI
- 1629664446
- Entity type
- Individual (NPI-1)
- Name
- Nicole Lynn Gibson
- Credential
- BCBA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 16, 2020
- Certification date
- May 7, 2024
- Last updated
- May 7, 2024
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 |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 246629 | KY | Yes |
Practice location
529 Countrywood PlBowling Green, KY 42101-6500
Phone 304-690-6428
Mailing address
529 Countrywood PlBowling Green, KY 42101-6500
Phone 304-690-6428
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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All 66 Behavior Analyst providers in Bowling Green · All 3,685 providers in Bowling Green
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