Alison Gillis | Rego Park, NY • PECOS Search

Alison Gillis

Behavior Analyst

Behavioral Health & Social Service Providers

63169 Alderton St, Rego Park, NY 11374-3919

PECOS Enrollment

Based on the most recent information from CMS, provider Alison Gillis does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1558803692
Provider Type
Individual
Full Name
Gillis, Alison
Title
Dr.
Credential
PH.D.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
11/7/2016
Last Updated
11/7/2016

Contact Information

Practice Location

63169 Alderton St, Rego Park, NY 11374-3919

Unlisted Fax

Mailing Location

63169 Alderton St, Rego Park, NY 11374-3919

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 103K00000X Primary	Description Behavior Analyst Behavioral Health & Social Service Providers	License 000500 New York