Individual
MOLLY GAGLIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1018 S BRUNDIDGE ST, TROY, AL 36081-3148
(334) 792-5020
Mailing address
1018 S BRUNDIDGE ST, TROY, AL 36081-3148
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21-193055
21-193055
—
Enumeration date
02/22/2022
Last updated
02/22/2022
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