NPI 1073157194

Gianna Gazzillo, RBT

Practitioner Behavior Technician Highland, IN

Practice location

Address: 2906 Highway Ave, Highland, IN 46322-1631
Phone: (219) 513-8311
Mailing address: 12588 Monroe CT, Crown Point, IN 46307-9234

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-19-91810 (IN)

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Registry record

NPI: 1073157194
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Oct 2019
Record last updated: 24 May 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.