Hailey Elizabeth Gillam, MA, BCBA, LBA
Behavior Analyst in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1174158331
StatusActive
Last updated in NPPESApr 14, 2026
Details
- NPI
- 1174158331
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Hailey Elizabeth Gillam
- Credential
- MA, BCBA, LBA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 9, 2020
- Certification date
- Apr 14, 2026
- Last updated
- Apr 14, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 7401003258 | MI | Yes |
| 106S00000X | Behavior Technician | RBT-20-115122 | FL | |
| 103K00000X | Behavior Analyst | 1-22-61107 | FL | |
| 106E00000X | Assistant Behavior Analyst | 11307 | FL |
Practice location
4234 Cascade Rd SeGrand Rapids, MI 49546-8384
Phone 574-904-9433 · Fax 844-272-7692
Mailing address
4234 Cascade Rd SeGrand Rapids, MI 49546-8384
Phone 574-904-9433 · Fax 844-272-7692
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