Individual
AMANDA GALLOF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5701 MARK IV PKWY STE 400, FORT WORTH, TX 76131-3321
(855) 782-7822
Mailing address
5701 MARK IV PKWY STE 400, FORT WORTH, TX 76131-3321
(855) 782-7822
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7583
TX
Other
Enumeration date
06/06/2023
Last updated
04/08/2025
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