Individual
PATRICK GALLAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BEHAVIOR SPECIALIST
Contact information
Practice address
1832 S 12TH ST, PHILADELPHIA, PA 19148-2106
(609) 254-4351
Mailing address
1832 S 12TH ST, PHILADELPHIA, PA 19148-2106
(609) 254-4351
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH001068
PA
Other
Enumeration date
02/04/2014
Last updated
02/04/2014
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