Kelly Gilliam
Individual provider Active NPI Behavior Technician · Pinckney, MI
NPI 1225565732 · NPPES record last updated May 8, 2018
Key facts
- NPI
- 1225565732
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-17-43370
- Practice address
- 9215 Anne St
Pinckney, MI 48169-8905 - Phone
- (734) 904-8265
- NPI assigned
- May 15, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-17-43370 | Yes |
Addresses
Primary practice location
9215 Anne St
Pinckney, MI 48169-8905
Mailing address
9215 Anne St
Pinckney, MI 48169-8905
Phone (734) 904-8265
Other providers in Pinckney, MI
- Callie Fletcher
- Gina L. Frankhart
- Ashley Teal Frendewey
- Molly George
- Daniel Giannotti
- Amy Alison Gluck
- Kim Michelle Goffee
- Jennifer Gradowski
- Jodi Marie Graham
- Christiana Ann Griswold
All providers in Pinckney, MI · Behavior Technician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.