Tina Marie Gillman

NPI #1982364956 in Wayland, Michigan

Provider Information

NPI Number: 1982364956
Entity Type: Individual
Name: Tina Marie Gillman
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 17, 2021
Last Updated: Dec 17, 2021

Practice Location

Address: 1236 E BERNIE CT
City: Wayland
State: Michigan
ZIP Code: 49348-9377
Phone: (616) 214-9306

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Counselor - Mental Health — Mental Health	101YM0800X
Behavior Analyst	103K00000X
Behavior Technician	106S00000X	Primary

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