Individual
TIMOTHY KEVIN GALLAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
203 KAPAA QUARRY PL #5002, KAILUA, HI 96734
(808) 247-2973
Mailing address
1048 5TH AVE, HONOLULU, HI 96816-1641
(360) 710-5873
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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