MISS Kaila Daisy Gilliam, BEHAVIORAL TECH 1

NPI #1891254280 in Hillsboro, Oregon

Provider Information

NPI Number: 1891254280
Entity Type: Individual
Name: MISS Kaila Daisy Gilliam, BEHAVIORAL TECH 1
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: BEHAVIORAL TECH 1
Enumeration Date: Mar 15, 2019
Last Updated: Mar 15, 2019

Practice Location

Address: 5801 NE CORNELIUS PASS RD
City: Hillsboro
State: Oregon
ZIP Code: 97124-9370
Phone: (971) 762-1144

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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