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1457850489
CARISSA ELIZABETH GILLILAND
PHOENIX, AZ
NPI
1457850489
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Former Name
CARISSA ELIZABETH THARP
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: AZ BEH-000496)
Enumeration Date
2018-02-05
Last Update Date
2021-11-29
Business Address
MRS. CARISSA ELIZABETH GILLILAND M.ED., BCBA, LBA
2400 W DUNLAP AVE STE 100
PHOENIX, AZ 85021-2813
Phone number: 602-325-2485
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Mailing Address
MRS. CARISSA ELIZABETH GILLILAND M.ED., BCBA, LBA
4170 N 108TH AVE
PHOENIX, AZ 85037-5469
Phone number: 480-751-1957
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