Colette Gillis

NPI #1700277613 in Mishawaka, Indiana

Provider Information

NPI Number: 1700277613
Entity Type: Individual
Name: Colette Gillis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Feb 13, 2015
Last Updated: Feb 13, 2015

Practice Location

Address: 3730 EDISON LAKES PKWY
City: Mishawaka
State: Indiana
ZIP Code: 46545-3424
Phone: (574) 387-4313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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