Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mackenzie Gilliam

Individual provider Behavior Technician · NPI 1053113233

Mackenzie Gilliam is a Behavior Technician in Virginia, Minnesota. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

910 8th St S Ste B
Virginia, MN 55792-3236
Phone: (218) 728-4257
Fax: (218) 212-3444
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1053113233
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 26, 2025
Last updated in NPPESMarch 26, 2025
Certification dateMarch 26, 2025
Mailing addressPo Box 236, Cotton, MN 55724-0236

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