Individual provider · Type 1 NPI

Gina Gillstrom, RBT

Behavior Technician · Lahaina, HI

NPI number 1619486040 Active

Practice location

5095 Napilihau St Ste 109B-127
Lahaina, HI 96761-8800

Call (800) 273-4292 Map

Fax (714) 596-6274

Mailing address

1901 Carnegie Ave Ste 1C
Santa Ana, CA 92705-5504

Specialties and licenses

Taxonomy	Code	License
Behavior Technician Primary	106S00000X	RBT-17-32844

Behavior Technician: The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That…

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About NPI 1619486040

Gina Gillstrom, RBT's National Provider Identifier is 1619486040, issued on Sep 28, 2017. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Lahaina, HI. The record was last updated on Sep 28, 2017.