Michael Kimo Van Gieson

NPI #1578182119 in Damascus, Maryland

Provider Information

NPI Number: 1578182119
Entity Type: Individual
Name: Michael Kimo Van Gieson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 14, 2020
Last Updated: Apr 14, 2020

Practice Location

Address: 26633 PURDUM RD
City: Damascus
State: Maryland
ZIP Code: 20872-1425
Phone: (240) 459-5169

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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