Lisa Leigh Gildart

NPI #1972224244 in Baxter, Minnesota

Provider Information

NPI Number: 1972224244
Entity Type: Individual
Name: Lisa Leigh Gildart
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 6, 2022
Last Updated: Sep 6, 2022

Practice Location

Address: 7938 COLLEGE RD
City: Baxter
State: Minnesota
ZIP Code: 56425-8636
Phone: (218) 270-2918

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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