Individual
ELIJAH ANTHONY GALLEGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4900 COLLEGE ST NW, ALBUQUERQUE, NM 87120-2449
(505) 318-2739
Mailing address
4900 COLLEGE ST NW, ALBUQUERQUE, NM 87120-2449
(505) 318-2739
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/26/2024
Last updated
11/26/2024
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