Individual provider · Type 1 NPI

Destinie Renae Gibson I, DG

Behavior Technician · Port St. Lucie, FL

NPI number 1295534204 Active

Practice location

1801 SE Hillmoor Dr Ste B101-103
Port St. Lucie, FL 34952-7553

Call (772) 463-0444 Map

Mailing address

160 Cinnamon Cove Dr Apt 104
Melbourne, FL 32901-8515

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XNone listed

Behavior Technician: The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That…

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About NPI 1295534204

Destinie Renae Gibson I, DG's National Provider Identifier is 1295534204, issued on Mar 11, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Port St. Lucie, FL. The record was last updated on Jan 8, 2026.