Individual
MRS. REBECCA KAY GILLIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2203 BATELEY ST, SAINT JOSEPH, MO 64503-7101
(816) 390-3070
Mailing address
2203 BATELEY ST, SAINT JOSEPH, MO 64503-7101
(816) 390-3070
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
20150054
MO
Other
Enumeration date
09/07/2015
Last updated
09/07/2015
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