Most Relevant Information
Provider Data
| NPI Number: | 1003194465 |
| Provider Name: | BRIDGET GIBBONS M.A. |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/02/2011 |
| Last Updated: | 08/02/2011 |
Provider Practice Location
707 N BROADWAY
KENNEDY KRIEGER INSTITUTE- BEHAVIORAL PSYCHOLOGY
BALTIMORE
MD
212051832
Practice Location Phone/Fax
| Phone: | 4439239532 |
| Fax: | 4439232835 |
Provider Mailing Location
707 N BROADWAY
KENNEDY KRIEGER INSTITUTE- BEHAVIORAL PSYCHOLOGY
BALTIMORE
MD
212051832
Provider Mailing Phone/Fax
| Phone: | 4439239532 |
| Fax: | 4439232835 |