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Contact Information

VANESSA GILLIAM, M.ED., BCBA, LBA
4235 CEDAR SPRINGS RD
DALLAS, TX75219
 Phone: 469-906-6372
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
Indicates primary specialty

NPI Profile & details for VANESSA GILLIAM · (Female)

NPI # 1922483577
Status Active
Credentials M.ED., BCBA, LBA
Entity Individual
Enumeration date 07/24/2015
Last updated 04/21/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 1-21-49803
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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