MARIN GIBSON
NPI 1043758139
in Oakland, CA

Q: What is Marin Gibson's NPI number?

The NPI number for Marin Gibson is 1043758139. It was assigned to this individual provider in the NPPES registry on February 8, 2017.

Q: When was this NPI record last updated?

The NPPES record for Marin Gibson was last updated on April 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 08, 2017PECOS Enrolled

180 GRAND AVE STE 225, OAKLAND, CA 94612(510) 506-7910 Get Directions Write a Review

NPPES record last updated: April 17, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 17, 2023, Sep 6, 2023, Apr 17, 2019 and 1 more (4 updates tracked since 2017).

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About Marin Gibson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIN GIBSON (NPI 1043758139) is an individual healthcare provider in Oakland, California and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Sacramento, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1043758139

Entity TypeIndividualFemale

Provider Legal NameMARIN GIBSON

Location Address180 GRAND AVE STE 225Oakland, CA 94612

Mailing Address2730 Shadelands Dr Bldg 10Walnut Creek, CA 94598-2538 · (925) 266-8400

Phone(510) 506-7910

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateFebruary 8, 2017

Last NPPES UpdateApril 17, 20194 updates tracked since enumeration

✔ NPI 1043758139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

Definition

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

180 GRAND AVE STE 225, Oakland, CA 94612

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Secondary Practice Location 1

Location 12710 Gateway Oaks DrSacramento, CA 95833-3505 · Phone (510) 672-2083

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marin Gibson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951748094

PECOS Enrollment IDI20260318003630

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIAN GONSALEZ

Behavior Technician