Antanisha Gilliam, RBT

NPI #1154904159 in Falls Church, Virginia

Provider Information

NPI Number: 1154904159
Entity Type: Individual
Name: Antanisha Gilliam, RBT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: RBT
Enumeration Date: Apr 28, 2021
Last Updated: Apr 28, 2021

Practice Location

Address: 6400 ARLINGTON BLVD STE 670
City: Falls Church
State: Virginia
ZIP Code: 22042-2336
Phone: (703) 992-6938

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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