Bryan J Gillenwater, RBT

NPI #1013579358 in Newburgh, Indiana

Provider Information

NPI Number: 1013579358
Entity Type: Individual
Name: Bryan J Gillenwater, RBT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: RBT
Enumeration Date: Jul 8, 2019
Last Updated: Jul 8, 2019

Practice Location

Address: 4655 ROSEBUD LN
City: Newburgh
State: Indiana
ZIP Code: 47630-9366
Phone: (812) 213-8031

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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