Individual
HEATHER GILLENWATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
229 US-41, BARNESVILLE, GA 30204
(888) 963-2228
(706) 780-1705
Mailing address
2116 BIRDIE RD, GRIFFIN, GA 30223-8007
(888) 963-2228
(706) 780-1705
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/17/2026
Last updated
06/17/2026
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