Individual
ALYSIA S GILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
4123 UNIVERSITY BLVD S, SUITE C, JACKSONVILLE, FL 32216-4371
(904) 329-3317
(904) 329-3318
Mailing address
4123 UNIVERSITY BLVD S, SUITE C, JACKSONVILLE, FL 32216-4371
(904) 329-3317
(904) 329-3318
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-6104
FL
Other
Enumeration date
07/07/2009
Last updated
09/17/2010
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