Provider Demographics
NPI:1649649625
Name:GIBBS, CYNTHIA (MA, BCBA, LBA)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:GIBBS
Suffix:
Gender:F
Credentials:MA, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:534 BEATCHER LN
Mailing Address - Street 2:
Mailing Address - City:ADAMSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38310-4100
Mailing Address - Country:US
Mailing Address - Phone:985-551-1902
Mailing Address - Fax:
Practice Address - Street 1:759 W CHURCH ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:TN
Practice Address - Zip Code:38351-1738
Practice Address - Country:US
Practice Address - Phone:731-968-1050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-18
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst