Grant Gibson, is a
Behavior Analyst based in Grand Rapids, Michigan. Grant Gibson is licensed to practice in * (Not Available) (license number ) and his current practice location is
4829 E Beltline Ave Ne Ste 310, Grand Rapids, Michigan. He can be reached at his office (for appointments etc.) via phone at
(616) 279-6414.
NPI number for Grant Gibson is 1689164212 and his current mailing address is 4829 E Beltline Ave Ne Ste 310, Grand Rapids, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1689164212.
Healthcare Provider's Profile
| Full Name | Grant Gibson |
|---|
| Gender | Male |
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| Speciality | Behavior Analyst |
|---|
| Location | 4829 E Beltline Ave Ne Ste 310, Grand Rapids, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1689164212
- Provider Enumeration Date: 05/18/2018
- Last Update Date: 10/02/2025
Medical Identifiers
Medical identifiers for Grant Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689164212 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Grant Gibson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Grant Gibson,
4829 E Beltline Ave Ne Ste 310,
Grand Rapids, MI 49525-9350
Ph: (616) 279-6414 | Grant Gibson,
4829 E Beltline Ave Ne Ste 310,
Grand Rapids, MI 49525-9350
Ph: (616) 279-6414 |
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