Gina Gillstrom, RBT

NPI #1619486040 in Lahaina, Hawaii

Provider Information

NPI Number: 1619486040
Entity Type: Individual
Name: Gina Gillstrom, RBT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: RBT
Enumeration Date: Sep 28, 2017
Last Updated: Sep 28, 2017

Practice Location

Address: 5095 NAPILIHAU ST STE 109B-127
City: Lahaina
State: Hawaii
ZIP Code: 96761-8800
Phone: (800) 273-4292

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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