Individual
JESSICA GALLEGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41521 W 11 MILE RD, NOVI, MI 48375-1803
(248) 299-0030
Mailing address
1438 W REINKEN AVE, BELEN, NM 87002-3036
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB462096
NM
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/12/2018
Last updated
02/26/2025
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