Provider Demographics
NPI:1265972863
Name:KIBLER, ANTHONY (BCBA)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:
Last Name:KIBLER
Suffix:
Gender:M
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 MAY ST
Mailing Address - Street 2:
Mailing Address - City:BISHOP
Mailing Address - State:CA
Mailing Address - Zip Code:93514-2711
Mailing Address - Country:US
Mailing Address - Phone:805-816-2024
Mailing Address - Fax:
Practice Address - Street 1:23630 VALENCIA BLVD STE A
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-1750
Practice Address - Country:US
Practice Address - Phone:805-816-2024
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-01
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-16-24075103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst