Kelsey Gilliam

NPI #1700378700 in North Pole, Alaska

Provider Information

NPI Number: 1700378700
Entity Type: Individual
Name: Kelsey Gilliam
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 5, 2018
Last Updated: Jun 5, 2018

Practice Location

Address: 203 SANTA CLAUS LN
City: North Pole
State: Alaska
ZIP Code: 99705-6055
Phone: (701) 215-6335

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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