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

Mickale Jonei Gilliam

Individual provider Behavior Technician · NPI 1407609944

Mickale Jonei Gilliam is a Behavior Technician in Lorton, Virginia. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

8530 Cinder Bed Rd Ste 1300
Lorton, VA 22079-1478
Phone: (844) 244-1818
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 number1407609944
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 5, 2024
Last updated in NPPESOctober 22, 2024
Certification dateOctober 22, 2024

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