Individual
KAITLIN FAITH GALLARDO GINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6800 BROCKTON AVE, RIVERSIDE, CA 92506-3835
(951) 776-1966
Mailing address
6800 BROCKTON AVE, RIVERSIDE, CA 92506-3835
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
2355S0801X
Speech-Language Assistant
Primary
—
CA
Other
Enumeration date
12/08/2022
Last updated
04/13/2026
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