Individual
ILIANA GALVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
900 RIVERDALE ST UNIT 286, WEST SPRINGFIELD, MA 01089-4900
(855) 832-6727
(877) 839-6751
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-58475
MA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/26/2019
Last updated
03/28/2022
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