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Kelly Gilliam

Behavior Technician in Pinckney, MI. Individual provider (NPI-1).

NPI number1225565732
StatusActive
Last updated in NPPESMay 8, 2018

Details

NPI
1225565732
Entity type
Individual (NPI-1)
Name
Kelly Gilliam
Sex
Female
Sole proprietor
No
Enumeration date
May 15, 2017
Last updated
May 8, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior TechnicianRBT-17-43370–Yes

Practice location

9215 Anne St
Pinckney, MI 48169-8905

Phone 734-904-8265

Mailing address

9215 Anne St
Pinckney, MI 48169-8905

Phone 734-904-8265

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Other Behavior Technician providers in Pinckney, MI

All 6 Behavior Technician providers in Pinckney · All 159 providers in Pinckney

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