Reginald Gibbs, LPC license
Assistant Behavior Analyst in Atmore, AL. Individual provider (NPI-1).
NPI number1710690482
StatusActive
Last updated in NPPESDec 27, 2022
Details
- NPI
- 1710690482
- Entity type
- Individual (NPI-1)
- Name
- Reginald Gibbs
- Credential
- LPC license
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 27, 2022
- Certification date
- Dec 27, 2022
- Last updated
- Dec 27, 2022
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 |
|---|---|---|---|---|
| 106E00000X | Assistant Behavior Analyst | RSE1138 | AL | Yes |
Other names
- Latisha Dailey (Former Name)
Practice location
150 Patterson StAtmore, AL 36502-1818
Phone 251-359-6459
Mailing address
150 Patterson StAtmore, AL 36502-1818
Phone 251-359-6459
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