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Jillian Gillo

Behavior Technician in North Pole, AK. Individual provider (NPI-1).

NPI number1669964664
StatusActive
Last updated in NPPESJun 5, 2018

Details

NPI
1669964664
Entity type
Individual (NPI-1)
Name
Jillian Gillo
Sex
Female
Sole proprietor
No
Enumeration date
Jun 5, 2018
Last updated
Jun 5, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

203 Santa Claus Ln
North Pole, AK 99705-6055

Phone 530-631-9817

Mailing address

203 Santa Claus Ln
North Pole, AK 99705-6055

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Other Behavior Technician providers in North Pole, AK

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