Individual
ALECIA GILLYORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7600 RIVERDALE RD, NEW CARROLLTON, MD 20784-3702
(240) 383-8800
Mailing address
7600 RIVERDALE RD, NEW CARROLLTON, MD 20784-3702
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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