Mackenzie Gilliam
Behavior Technician · Virginia, MN
NPI number
1053113233
Practice location
910 8TH St S Ste BVirginia, MN 55792-3236
- Phone
- (218) 728-4257
- Fax
- (218) 212-3444
NPI record
- NPI
- 1053113233
- Entity type
- Individual (Type 1)
- Enumeration date
- March 26, 2025
- Last updated
- March 26, 2025
- Certified
- March 26, 2025
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Technician Primary | 106S00000X |
— | — |
Mailing address
PO Box 236Cotton, MN 55724-0236
About Mackenzie Gilliam
Mackenzie Gilliam is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 910 8TH St S Ste B, Virginia, MN 55792-3236. The NPI number 1053113233 was assigned on March 26, 2025 and the record was last updated on March 26, 2025.
Frequently asked questions
What is the NPI number of Mackenzie Gilliam?
The NPI number is 1053113233.
What is the phone number of Mackenzie Gilliam?
The phone number listed for the practice location is (218) 728-4257.
Where is Mackenzie Gilliam located?
910 8TH St S Ste B, Virginia, MN 55792-3236.
What is the taxonomy code for Mackenzie Gilliam?
The primary taxonomy code is 106S00000X – Behavior Technician.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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