Provider Demographics
NPI:1174317739
Name:GIBNEY, ALLISON KATHLEEN (BCBA)
Entity type:Individual
Prefix:MS
First Name:ALLISON
Middle Name:KATHLEEN
Last Name:GIBNEY
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:167 NEW BRITAIN AVE
Mailing Address - Street 2:
Mailing Address - City:UNIONVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06085-1204
Mailing Address - Country:US
Mailing Address - Phone:860-919-9710
Mailing Address - Fax:
Practice Address - Street 1:167 NEW BRITAIN AVE
Practice Address - Street 2:
Practice Address - City:UNIONVILLE
Practice Address - State:CT
Practice Address - Zip Code:06085-1204
Practice Address - Country:US
Practice Address - Phone:860-919-9710
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-08
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1-25-80375103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst