Individual
DR. ALISON GILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
63169 ALDERTON ST, REGO PARK, NY 11374-3919
(732) 687-2583
Mailing address
63169 ALDERTON ST, REGO PARK, NY 11374-3919
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
000500
NY
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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