Individual
COURTNEY L GILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2890 CARPENTER RD STE 1100, ANN ARBOR, MI 48108
(810) 599-4816
Mailing address
PO BOX 663, LAKELAND, MI 48143-0663
(810) 559-2129
(586) 228-9902
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/26/2018
Last updated
03/04/2019
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