Individual
JAZELLE ANGELINE GALLARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4141 S NOGALES ST UNIT A104, WEST COVINA, CA 91792-3057
(833) 831-8946
Mailing address
755 E DATE ST APT D6, BREA, CA 92821-6618
(562) 900-1562
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
03/27/2025
Last updated
03/27/2025
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